Active NPI
Lauren Popivchak, PA-C
- Medical Physician Assistant
- Bensalem, PA
National Provider Identifier
1326342544
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- MA054776
- Practice address
- 3260 Tillman Dr
Suite 120
Bensalem, PA 19020-2029 - Phone
- (267) 332-0321
- Fax
- (267) 332-0323
- NPI assigned
- Jan 3, 2011
- Last updated
- Feb 12, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | MA054776 | PA | Primary |
Addresses
Primary practice location
3260 Tillman Dr
Suite 120
Bensalem, PA 19020-2029
Mailing address
3260 Tillman Dr
Suite 120
Bensalem, PA 19020-2029
Phone (267) 332-0321
Other names 1
- Lauren Beidleman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1294012800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1423699200000",
"number": "1326342544",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3260 TILLMAN DR",
"address_2": "SUITE 120",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202029",
"telephone_number": "267-332-0321",
"fax_number": "267-332-0323"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3260 TILLMAN DR",
"address_2": "SUITE 120",
"city": "BENSALEM",
"state": "PA",
"postal_code": "190202029",
"telephone_number": "267-332-0321",
"fax_number": "267-332-0323"
}
],
"practiceLocations": [],
"basic": {
"last_name": "POPIVCHAK",
"first_name": "LAUREN",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-01-03",
"last_updated": "2015-02-12",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": "MA054776",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "LAUREN",
"last_name": "BEIDLEMAN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Bensalem, PA
- Pinnacle Physicians Group, LLC (Street Road Medical Associates, PC)
- Geraldine A Piscopio, CRNA
- Gina Pizzi
- Planned Parenthood Keystone
- Kira Y Ploshansky, LMFT
- Sarah Elizabeth Powell
- Precious Smiles Inc
- Preferred Home Health Care & Nursing Services Inc. (Care Options for Kids)
- Preferred Home Health Care & Nursing Services, Inc (Acelleron Medical Products)
- Andrea Price, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.