NPIMap

Individual provider Active NPI

Tarin Amy Sill, PA-C

  • Medical Physician Assistant
  • Everett, PA
National Provider Identifier
1891059432
Registry record updated Jan 21, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
OA003265 Issued in PA
Practice address
202 Memorial Dr
Suite 2
Everett, PA 15537-7057
Phone
(814) 623-0552
Fax
(814) 623-0752
NPI assigned
Jun 28, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2021

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 MA055577 PA
Medical Physician Assistant 363AM0700X OA003265 PA Primary

Addresses

Primary practice location

202 Memorial Dr
Suite 2
Everett, PA 15537-7057

Mailing address

202 Memorial Dr
Suite 2
Everett, PA 15537-7057
Phone (814) 623-0552

Other names 1

  • Mrs. Tarin Amy Sill Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20121114000286 PA Practitioner - Physician Assistant 1254582539 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bedford Regional Urology, P.C.Group PAC ID 8820164908, 2 clinicians

Practice addresses (Care Compare)

202 Memorial Dr
Suite 2
Everett, PA 15537-7057
Phone (814) 623-0552

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Windber Hospital, Inc. Past Accepting new patients

Organizations & group practices 2

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 16

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

View all 16

NPI Registry JSON

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

{
    "created_epoch": "1340841600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1891059432",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 MEMORIAL DR",
            "address_2": "SUITE 2",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377057",
            "telephone_number": "814-623-0552",
            "fax_number": "814-623-0752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 MEMORIAL DR",
            "address_2": "SUITE 2",
            "city": "EVERETT",
            "state": "PA",
            "postal_code": "155377057",
            "telephone_number": "814-623-0552",
            "fax_number": "814-623-0752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SILL",
        "first_name": "TARIN",
        "middle_name": "AMY",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-28",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055577",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA003265",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "TARIN",
            "last_name": "SILL",
            "middle_name": "AMY",
            "prefix": "MRS.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Everett, PA

Sources for this page

Verify at the official NPI Registry.