Individual provider Active NPI

Paula D Zemaitis, P.A.

  • Physician Assistant
  • Shamokin Dam, PA
National Provider Identifier
1639400906
Registry record updated Dec 24, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA055707 Issued in PA
Practice address
2660 N Susquehanna TRL
Shamokin Dam, PA 17876-9105
Phone
(570) 884-3726
Fax
(570) 884-3728
NPI assigned
Jan 26, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 24, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9105344 FL
Physician Assistant 363A00000X MA055707 PA Primary

Addresses

Primary practice location

2660 N Susquehanna TRL
Shamokin Dam, PA 17876-9105

Mailing address

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6603

Other identifiers 1

IdentifierTypeStateIssuer
001924300MedicaidFL

Other names 1

  • Paula D Henderson Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address pzemaitis106408@direct.geisinger.edu Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121228000444 PA Practitioner - Physician Assistant 5294870838 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Geisinger ClinicGroup PAC ID 5395657001, 3,432 clinicians

Practice addresses (Care Compare)

100 N Academy Ave
Danville, PA 17822-9800
Phone (570) 271-6144

200 Scenery Dr
State College, PA 16801-7974
Phone (814) 231-4560

210 Medical Ctr Dr
Philipsburg, PA 16866-1948
Phone (814) 342-8020

68 Spring St
Suite 203
Lock Haven, PA 17745-1911
Phone (800) 230-4564

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
MA055707PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic CurrentSince Oct 1, 2013 Accepting new patients
Geisinger Clinic CurrentSince Oct 1, 2013 Accepting new patients
Geisinger-HM Joint Venture, LLC Physician Assistant CurrentSince Dec 18, 2019 Accepting new patients
Geisinger Clinic Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

3228 Cold Springs Rd
Huntingdon, PA 16652
Phone (814) 643-6462

21 Geisinger Ln
Lewistown, PA 17044
Phone (717) 242-4200

68 Spring St
Ste 203
Lock Haven, PA 17745
Phone (800) 230-4564

955 Bellefonte Ave
Lock Haven, PA 17745
Phone (570) 748-7714

10 Choate Cir
Montoursville, PA 17754
Phone (570) 368-5566

210 Medical Center Dr
Philipsburg, PA 16866
Phone (814) 342-8001

157 Roosevelt Ave
Selinsgrove, PA 17870
Phone (570) 884-3726

1000 US Highway 522
Selinsgrove, PA 17870
Phone (570) 372-5601

2660 N Susquehanna Trl
Shamokin Dam, PA 17876
Phone (570) 884-3726

200 Scenery Dr
State College, PA 16801
Phone (814) 231-4560

25 Church St
Wilkes Barre, PA 18702
Phone (570) 340-5800

1824 E 3rd St
Williamsport, PA 17701
Phone (570) 322-4422

Interoperability endpoints

  • Direct secure messaging: pzemaitis106408@direct.geisinger.edu

Organizations & group practices 6

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1264464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1639400906",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 N ACADEMY AVE",
            "city": "DANVILLE",
            "state": "PA",
            "postal_code": "178229800",
            "telephone_number": "570-271-6603",
            "fax_number": "570-271-6578"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 N SUSQUEHANNA TRL",
            "city": "SHAMOKIN DAM",
            "state": "PA",
            "postal_code": "178769105",
            "telephone_number": "570-884-3726",
            "fax_number": "570-884-3728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZEMAITIS",
        "first_name": "PAULA",
        "middle_name": "D",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-01-26",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9105344",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA055707",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001924300",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "pzemaitis106408@direct.geisinger.edu",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2660 N Susquehanna Trl",
            "city": "Shamokin Dam",
            "state": "PA",
            "country_code": "US",
            "postal_code": "178769105",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "PAULA",
            "last_name": "HENDERSON",
            "middle_name": "D",
            "credential": "P.A.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shamokin Dam, PA

Sources for this page

Verify at the official NPI Registry.