Individual provider Active NPI

Samantha Robyn Werman, PA-C

  • Medical Physician Assistant
  • Philadelphia, PA
National Provider Identifier
1811273089
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055018 Issued in PA
Practice address
3400 Spruce St
Philadelphia, PA 19104-4238
Phone
(215) 615-3880
NPI assigned
Nov 1, 2011
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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 C5-0000785 DE
Medical Physician Assistant 363AM0700X MA055018 PA Primary

Addresses

Primary practice location

3400 Spruce St
Philadelphia, PA 19104-4238

Mailing address

3400 Spruce St
9 Founders
Philadelphia, PA 19104
Phone (215) 615-3880

Other names 1

  • Samantha Robyn Geboff 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
I20170816000336 PA Practitioner - Physician Assistant 4981840782 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Penn-Medical GroupGroup PAC ID 6204730955, 3,433 clinicians

Practice addresses (Care Compare)

3400 Civic Ctr Blvd 1St
Harron Lung Pcam
Philadelphia, PA 19104-4306
Phone (215) 662-3202

3400 Civic Ctr Blvd W Pavillion
4 Penn Diabetic Kidney Disease Perelman
Philadelphia, PA 19104-5134
Phone (215) 662-2638

3400 Spruce St
Philadelphia, PA 19104-4238
Phone (215) 662-7772

3400 Spruce St
FL 3
Philadelphia, PA 19104-4229
Phone (215) 662-3202

3535 Market St
Philadelphia, PA 19104-3362

3549 Chestnut St
FL 9
Philadelphia, PA 19104-3361
Phone (215) 662-7772

3624 Market St
FL 2
Philadelphia, PA 19104-5803
Phone (215) 662-7772

3737 Market St
FL 10
Philadelphia, PA 19104-5545
Phone (215) 662-8766

51 N 39TH St 1St FL Phi
Pulmomary Med PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8766

51 N 39TH St HVP 2ND FL
Pulmonary Dysp PPMC
Philadelphia, PA 19104-2640
Phone (215) 662-8888

Hospital & facility affiliations

  • Hospital of Univ of Pennsylvania Hospital, Philadelphia, PA, CCN 390111

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA055018PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
University of Penn-Medical Group CurrentSince May 21, 2017 Accepting new patients
University of Penn - Medical Group CurrentSince May 21, 2017 Accepting new patients
Abington Memorial Hospital CurrentSince Feb 1, 2020 Accepting new patients
Abington Memorial Hospital CurrentSince Feb 1, 2020 Accepting new patients

Locations

1200 Old York Rd
Ste 2B
Abington, PA 19001
Phone (215) 481-2222

3624 Market St
Fl 2
Philadelphia, PA 19104
Phone (215) 615-3669

3400 Spruce St
Fl 9
Philadelphia, PA 19104
Phone (215) 662-2891

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1320105600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1811273089",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "address_2": "9 FOUNDERS",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "19104",
            "telephone_number": "215-615-3880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 SPRUCE ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191044238",
            "telephone_number": "215-615-3880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERMAN",
        "first_name": "SAMANTHA",
        "middle_name": "ROBYN",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-11-01",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0000785",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055018",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GEBOFF",
            "middle_name": "ROBYN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Philadelphia, PA

Sources for this page

Verify at the official NPI Registry.