Individual provider Active NPI

Tama Senick, PA-C

  • Medical Physician Assistant
  • Allentown, PA
National Provider Identifier
1942578414
Registry record updated Dec 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
MA055184 Issued in PA
Practice address
3131 College Heights Blvd Ste 1200
Allentown, PA 18104-4858
Phone
(106) 439-8551
Fax
(610) 439-1435
NPI assigned
Dec 12, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 2, 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 OA002751 PA
Medical Physician Assistant 363AM0700X MA055184 PA Primary

Addresses

Primary practice location

3131 College Heights Blvd Ste 1200
Allentown, PA 18104-4858

Mailing address

3131 College Heights Blvd Ste 1200
Allentown, PA 18104-4858
Phone (106) 439-8551

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
I20120119000448 PA Practitioner - Physician Assistant 0143497966 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OA002751PAMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
St Luke'S Physician Group Inc CurrentSince Jan 9, 2012 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 16, 2018 Accepting new patients
Schuylkill Health System Medical Group, Inc. CurrentSince Jul 1, 2021 Accepting new patients
St. Luke'S Physician Group, Inc. CurrentSince Jan 9, 2012 Accepting new patients
Lehigh Valley Physician Group CurrentSince Jul 16, 2018 Accepting new patients

Locations

2100 Mack Blvd
Fl 4
Allentown, PA 18103

3131 College Heights Blvd
Ste 1200
Allentown, PA 18104
Phone (610) 439-8551

801 Ostrum St
Fountain Hill, PA 18015
Phone (610) 954-2200

5649 Wynnewood Dr
Ste 104
Laurys Station, PA 18059
Phone (610) 262-6641

6451 Village Ln
Macungie, PA 18062
Phone (610) 967-2772

700 Schuylkill Manor Rd
Ste 3
Pottsville, PA 17901
Phone (570) 621-4440

Organizations & group practices 10

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": "1323648000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669939200000",
    "number": "1942578414",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD STE 1200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044858",
            "telephone_number": "106-439-8551",
            "fax_number": "610-439-1435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3131 COLLEGE HEIGHTS BLVD STE 1200",
            "city": "ALLENTOWN",
            "state": "PA",
            "postal_code": "181044858",
            "telephone_number": "106-439-8551",
            "fax_number": "610-439-1435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SENICK",
        "first_name": "TAMA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-12",
        "last_updated": "2022-12-02",
        "certification_date": "2022-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "OA002751",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA055184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Allentown, PA

Sources for this page

Verify at the official NPI Registry.