Susan R Adkins, PA-C
Individual provider Active NPI Medical Physician Assistant · Allentown, PA
NPI 1497087597 · NPPES record last updated Dec 15, 2020
Key facts
- NPI
- 1497087597
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical Physician Assistant 363AM0700X
- License
- C07173 (MD)
- Practice address
- 227 Pennsylvania 100
Allentown, PA 18106 - Phone
- (160) 336-1000
- NPI assigned
- Feb 1, 2010
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in DE
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200418000039 | DE | Practitioner - Physician Assistant | 8527223296 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OA002472 | PA | MD | Physician Assistant |
| C07173 | MD | MD | Medical Physician Assistant |
Interoperability endpoints
- susan.adkins@georgetownfamilymedicine.chartmakerdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | MA054229 | PA | |
| Physician Assistant | 363A00000X | OA002472 | PA | |
| Medical Physician Assistant | 363AM0700X | C5-0001087 | DE | |
| Medical Physician Assistant | 363AM0700X | C07173 | MD | Yes |
Addresses
Primary practice location
227 Pennsylvania 100
Allentown, PA 18106
Mailing address
The Healing Arts Center, #2
617 Franklin
Berlin, MD 21811-1440
Phone (215) 313-2434
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 15, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.