Kenneth Robert Higgins, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS005375L Issued in PA

Practice address

2471 S Queen St
York, PA 17402-4947

Phone

(717) 812-5888

Fax

(717) 741-3709

NPI assigned

Mar 24, 2006

Last updated

Sep 10, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Wellspan Medical Group

  dba WellSpan Digestive Health

  • Gastroenterology Physician
  • York, PA
  • NPI 1669770004
  Medicare reassignment NPD
• Queen Street Family Practice PC

  • Family Medicine Physician
  • York, PA
  • NPI 1487627857
  Authorized official Same address or phone
• Wellspan Medical Group

  dba WellSpan Pediatric Surgical Specialist

  • Pediatric Surgery Physician
  • York, PA
  • NPI 1104799428
  NPD
• Wellspan Medical Group

  • Gastroenterology Physician
  • Lebanon, PA
  • NPI 1578014007
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1631232000000",
    "number": "1073573929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2471 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024947",
            "telephone_number": "717-812-5888",
            "fax_number": "717-741-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2471 S QUEEN ST",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174024947",
            "telephone_number": "717-812-5888",
            "fax_number": "717-741-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "KENNETH",
        "middle_name": "ROBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2021-09-10",
        "certification_date": "2021-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "OS005375L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Grace Hice, OTR/L
• Kiara-Breia Louise Hicks-Lyles, CRNP, PMHNP-BC
• Elizabeth Anna Marie Hicks
• Michelle A Hieger, D.O.
• Corey Michael Higgins
• Jason L Higgs, D.O.
• Jacob M. High, PA-C
• James Anthony High, M.S.
• Jordan Highland
• Kayla Hightower, MS, LBS

• Family Medicine Physician in York, PA
• Providers in York, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.