Tanya D Antosy, PA-C
Physician Assistant, Surgical in Wynnewood, PA. Individual provider (NPI-1).
NPI number1669667341
StatusActive
Last updated in NPPESDec 7, 2017
Details
- NPI
- 1669667341
- Entity type
- Individual (NPI-1)
- Name
- Tanya D Antosy
- Credential
- PA-C
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 6, 2007
- Last updated
- Dec 7, 2017
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363AS0400X | Physician Assistant, Surgical | MA05311 | PA | Yes |
| 363AM0700X | Physician Assistant, Medical | 25MP00279900 | NJ | |
| 363AM0700X | Physician Assistant, Medical | MA053181 | PA |
Practice location
100 Lancaster AveWynnewood, PA 19096-3450
Phone 484-476-2000
Mailing address
100 Lancaster AveWynnewood, PA 19096-3450
Phone 484-476-2000
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