Donald W Hiemenz, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD013429E Issued in PA

Practice address

Rodenbach Lane
Brodheadsville, PA 18322

Phone

(570) 992-4208

Fax

(570) 992-6117

NPI assigned

Apr 19, 2006

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

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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

• Ultrasound Services, Inc

  • Physiological Laboratory
  • Newtown, PA
  • NPI 1740224062
  NPD (past)

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

{
    "created_epoch": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349827200000",
    "number": "1093770398",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 37",
            "address_2": "RODENBACH LANE",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "183229900",
            "telephone_number": "570-992-4202",
            "fax_number": "570-992-6117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "RODENBACH LANE",
            "city": "BRODHEADSVILLE",
            "state": "PA",
            "postal_code": "18322",
            "telephone_number": "570-992-4208",
            "fax_number": "570-992-6117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIEMENZ",
        "first_name": "DONALD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2012-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD013429E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0007282060002",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheali Hannigan
• Dennis G Harleman, DMD
• Thomas Earl Harleman, D.M.D
• Rika Hawes, BS
• Jenna Heller
• Christine Hoban, OTR/L
• Izabella Busher Optometry LLC
• Fred Jacoby Jr., M.A.
• Dennis Janosczyk
• Michael Clarence Johnston, MHS, LPC, CA-C

• Family Medicine Physician in Brodheadsville, PA
• Providers in Brodheadsville, 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 Oct 10, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.