=====================================================
General NPI Number Information
=====================================================
NPI Number | 1316719347
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | SARAH ELIZABETH FRANTZ PA-C
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 10/24/2023
-----------------------------------------------------
Last Update Date | 09/19/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 7150 HAMILTON BLVD UNIT 400
-----------------------------------------------------
City | TREXLERTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18087-9734
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 610-351-1555
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 461 S 10TH ST APT B306
-----------------------------------------------------
City | QUAKERTOWN
-----------------------------------------------------
State | PA
-----------------------------------------------------
Zip | 18951-3435
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 484-241-0888
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 363A00000X
-----------------------------------------------------
Taxonomy Name | Physician Assistant
-----------------------------------------------------
License Number | OA006636
-----------------------------------------------------
License Number State | PA
-----------------------------------------------------