Basic Information
| Provider Information | |||||||||
| NPI: | 1336130319 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | SEMENUK | ||||||||
| FirstName: | JANNA | ||||||||
| MiddleName: | G | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 700 LANCASTER ROAD | ||||||||
| Address2: | LGHP PENN MEDICINE FAMILY MEDICINE MANHEIM | ||||||||
| City: | MANHEIM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175452314 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176652496 | ||||||||
| FaxNumber: | 7176656345 | ||||||||
| Practice Location | |||||||||
| Address1: | 130 S PENN ST | ||||||||
| Address2: | |||||||||
| City: | MANHEIM | ||||||||
| State: | PA | ||||||||
| PostalCode: | 175451749 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7176652496 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 10/31/2005 | ||||||||
| LastUpdateDate: | 02/22/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207Q00000X | MD422504 | PA | Y | Allopathic & Osteopathic Physicians | Family Medicine |
ID Information
| ID | Type | State | Issuer | Description | 107755 S1QH | 01 | PA | GEISINGER HEALTH PLAN | OTHER | 50053374 | 01 | PA | CAPITAL BLUE CROSS | OTHER | 1010800360002 | 05 | PA | MEDICAID | 7154484 | 01 | PA | AETNA NON-HMO | OTHER | H96476 | 01 | PA | HEALTH AMERICA | OTHER | P006154 | 01 | PA | GATEWAY HEALTH PLAN | OTHER | P00289799 | 01 | PA | RAILROAD MEDICARE | OTHER | 3306725 | 01 | PA | AETNA HMO | OTHER | 1524305 | 01 | PA | HIGHMARK BLUE SHIELD | OTHER |