Individual provider Active NPI

Kathryn Janick, PA C

  • Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1700818937
Registry record updated Oct 2, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
MA051145 Issued in PA
Practice address
130 S 9TH St
6TH Floor Edison
Philadelphia, PA 19107-5233
Phone
(215) 503-0137
NPI assigned
Jul 7, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X MA051145 PA Primary

Addresses

Primary practice location

130 S 9TH St
6TH Floor Edison
Philadelphia, PA 19107-5233

Mailing address

130 S 9TH St
6TH Floor Edison
Philadelphia, PA 19107-5233
Phone (215) 503-0137

Other names 1

  • Kathryn Janick Former name

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
I20060509000711 PA Practitioner - Physician Assistant 7618988304 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care Clinic PLLCGroup PAC ID 7719419480, 4 clinicians

Practice addresses (Care Compare)

57 St Rd
Unit 4
Southampton, PA 18966-3100
Phone (267) 570-9988

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA051145PAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Gastroenterology Associates of Lancaster, LTD. CurrentSince Nov 11, 2023 Accepting new patients
Echenberg Institute for Pelvic and Sexual Pain Past Accepting new patients
Robert J Echenberg MD Womens Health Pelvic Pain & Sexual Wellness PC Past Accepting new patients

Locations

2112 Harrisburg Pike
Ste 202
Lancaster, PA 17601
Phone (717) 544-3500

100 E Lancaster Ave
Ste 252
Wynnewood, PA 19096
Phone (610) 896-7360

Organizations & group practices 5

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": "1152230400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349136000000",
    "number": "1700818937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 S 9TH ST",
            "address_2": "6TH FLOOR EDISON",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075233",
            "telephone_number": "215-503-0137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 S 9TH ST",
            "address_2": "6TH FLOOR EDISON",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191075233",
            "telephone_number": "215-503-0137"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JANICK",
        "first_name": "KATHRYN",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-07",
        "last_updated": "2012-10-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA051145",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATHRYN",
            "last_name": "JANICK",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.