Active NPI
Julie A. Tennison, PA-C
- Physician Assistant
- Columbus, OH
National Provider Identifier
1497408967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 50.008042RX
- Practice address
- 460 W 10TH Ave
Columbus, OH 43210-1240 - Phone
- (614) 293-3196
- Fax
- (614) 293-4812
- NPI assigned
- Feb 3, 2022
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | PA | ||
| Physician Assistant | 363A00000X | 50.008042RX | OH | Primary |
Addresses
Primary practice location
460 W 10TH Ave
Columbus, OH 43210-1240
Mailing address
700 Ackerman Rd Ste 2120
Columbus, OH 43202-1559
Phone (614) 293-3196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| University of Pittsburgh Physicians | Current | Accepting new patients | |
| Oncology Hematology Association | Current | Accepting new patients | |
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Locations
2 Hot Metal St
#One
Pittsburgh, PA 15203
Phone (412) 432-5864
200 Lothrop St
Pittsburgh, PA 15213
Phone (412) 647-3553
5115 Centre Ave
Fl 3
Pittsburgh, PA 15232
Phone (412) 235-1020
5230 Centre Ave
Shadyside, PA 15232
Phone (412) 623-2167
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Columbus, OH
- NPI 1740231448
-
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1861469223
-
- Gastroenterology Physician
- Pittsburgh, PA
- NPI 1619935004
-
- Clinical Medical Laboratory
- Johnstown, PA
- NPI 1932256104
-
- Diagnostic Radiology Physician
- Pittsburgh, PA
- NPI 1285692699
-
- Hematology & Oncology Physician
- Pittsburgh, PA
- NPI 1407804057
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1643846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1497408967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "700 ACKERMAN RD STE 2120",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432021559",
"telephone_number": "614-293-3196",
"fax_number": "614-293-4812"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "460 W 10TH AVE",
"city": "COLUMBUS",
"state": "OH",
"postal_code": "432101240",
"telephone_number": "614-293-3196",
"fax_number": "614-293-4812"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TENNISON",
"first_name": "JULIE",
"middle_name": "A.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-02-03",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "PA",
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "OH",
"license": "50.008042RX",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbus, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; 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.