Jenna Oswald

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

OA004183 Issued in PA

Practice address

870 Gordon Nagle TRL Ste 100
Pottsville, PA 17901-4203

Phone

(570) 399-5554

Fax

(570) 399-5578

NPI assigned

Oct 6, 2017

Last updated

Jun 13, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

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

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1507248000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718236800000",
    "number": "1750891511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "337 PROSPECT ST",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179011221",
            "telephone_number": "570-691-8749"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "870 GORDON NAGLE TRL STE 100",
            "city": "POTTSVILLE",
            "state": "PA",
            "postal_code": "179014203",
            "telephone_number": "570-399-5554",
            "fax_number": "570-399-5578"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Schuylkill Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "17901",
            "country_code": "US",
            "telephone_number": "570-621-9200",
            "fax_number": "570-621-9201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "301 Morea Rd",
            "address_purpose": "LOCATION",
            "city": "Frackville",
            "state": "PA",
            "postal_code": "179320001",
            "country_code": "US",
            "telephone_number": "570-773-7851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Schuylkill Medical Plz",
            "address_purpose": "LOCATION",
            "city": "Pottsville",
            "state": "PA",
            "postal_code": "17901",
            "country_code": "US",
            "telephone_number": "570-621-9200",
            "fax_number": "570-621-9201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OSWALD",
        "first_name": "JENNA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-06",
        "last_updated": "2024-06-13",
        "certification_date": "2024-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "MA058990",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "PA",
            "license": "OA004183",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Abby Odonnell
• Debra M Olcsvay, PA-C
• Amy M Olex, O.D.
• Stephen Todd Olex, M.D.
• Orthopedic Associates of Pottsville
• Joseph Oveh, MD
• Kathleen Owens, CRNA
• Abby Elizabeth Owsinski, RDN, LDN
• Anthony John Pacenta, D.D.S.
• Kelly Ann Painter, PTA

• Physician Assistant in Pottsville, PA
• Providers in Pottsville, PA by specialty
• Physician Assistant in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2024; 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.

Verify at the official NPI Registry.