Provider Demographics
NPI:1336130319
Name:SEMENUK, JANNA G (MD)
Entity Type:Individual
Prefix:DR
First Name:JANNA
Middle Name:G
Last Name:SEMENUK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:700 LANCASTER ROAD
Mailing Address - Street 2:LGHP PENN MEDICINE FAMILY MEDICINE MANHEIM
Mailing Address - City:MANHEIM
Mailing Address - State:PA
Mailing Address - Zip Code:17545-2314
Mailing Address - Country:US
Mailing Address - Phone:717-665-2496
Mailing Address - Fax:717-665-6345
Practice Address - Street 1:130 S PENN ST
Practice Address - Street 2:
Practice Address - City:MANHEIM
Practice Address - State:PA
Practice Address - Zip Code:17545-1749
Practice Address - Country:US
Practice Address - Phone:717-665-2496
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-10-31
Last Update Date:2018-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD422504207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA107755 S1QHOtherGEISINGER HEALTH PLAN
PA50053374OtherCAPITAL BLUE CROSS
PA1010800360002Medicaid
PA7154484OtherAETNA NON-HMO
PAH96476OtherHEALTH AMERICA
PAP006154OtherGATEWAY HEALTH PLAN
PAP00289799OtherRAILROAD MEDICARE
PA3306725OtherAETNA HMO
PA1524305OtherHIGHMARK BLUE SHIELD
PAP00289799OtherRAILROAD MEDICARE
PA107755 S1QHOtherGEISINGER HEALTH PLAN