Active NPI
Renee Beth Flax, M.D.
- Diagnostic Radiology Physician
- Hershey, PA
National Provider Identifier
1295782605
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- MD457859
- Practice address
- 500 University Dr
Hershey, PA 17033-2360 - Phone
- (800) 243-1455
- Fax
- (717) 531-5596
- NPI assigned
- May 30, 2006
- Last updated
- Jun 29, 2016
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | D62122 | MD | |
| Diagnostic Radiology Physician | 2085R0202X | MD457859 | PA | Primary |
Addresses
Primary practice location
500 University Dr
Hershey, PA 17033-2360
Mailing address
PO Box 858
500 University Drive
Hershey, PA 17033-0858
Phone (800) 243-1455
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 405627200 | Medicaid | MD |
Other names 1
- Renee Beth Flax-Goldenberg
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| American Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
| American Radiology Associates, P.a. | Diagnostic Radiology | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Diagnostic Radiology Physician
- Prince Frederick, MD
- NPI 1629235312
-
- Diagnostic Radiology Physician
- Baltimore, MD
- NPI 1780660217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1148947200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1467158400000",
"number": "1295782605",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 858",
"address_2": "500 UNIVERSITY DRIVE",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170330858",
"telephone_number": "800-243-1455",
"fax_number": "717-531-7269"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 UNIVERSITY DR",
"city": "HERSHEY",
"state": "PA",
"postal_code": "170332360",
"telephone_number": "800-243-1455",
"fax_number": "717-531-5596"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLAX",
"first_name": "RENEE",
"middle_name": "BETH",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-30",
"last_updated": "2016-06-29",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "MD",
"license": "D62122",
"primary": false
},
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "PA",
"license": "MD457859",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "405627200",
"state": "MD"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "RENEE",
"last_name": "FLAX-GOLDENBERG",
"middle_name": "BETH",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Hershey, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.