Individual provider Active NPI

Christian Joseph Fidler, MD

  • Hematology & Oncology Physician
  • Abington, PA
National Provider Identifier
1396937835
Registry record updated Apr 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
MD436672 Issued in PA
Practice address
1200 Old York Rd
Suite 1 Widener
Abington, PA 19001-3720
Phone
(215) 481-2400
Fax
(215) 481-7438
NPI assigned
Aug 17, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X MD436672 PA Primary

Addresses

Primary practice location

1200 Old York Rd
Suite 1 Widener
Abington, PA 19001-3720

Mailing address

1200 Old York Rd
Suite 1 Widener
Abington, PA 19001-3720
Phone (215) 481-2400

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20120724000028 PA Practitioner - Hematology/OncologyPractitioner - Internal Medicine 6204092000 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Hematology/OncologyAlso: Internal Medicine
Education
Pennsylvania State University College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Abington Memorial HospitalGroup PAC ID 3274437736, 442 clinicians
Amh Medical Staff Service FundGroup PAC ID 9830003813, 41 clinicians

Practice addresses (Care Compare)

1200 Old York Rd
Abington, PA 19001-3720

1200 Old York Rd 1 Widener
Abington CNCR Care
Abington, PA 19001-3720
Phone (215) 481-2400

3941 Commerce Ave
Willow Grove, PA 19090-1104
Phone (215) 481-4000

Hospital & facility affiliations

  • Thomas Jefferson University Hospital Hospital, Philadelphia, PA, CCN 390174
  • Jefferson Abington Hospital Hospital, Abington, PA, CCN 390231
  • Jefferson Health- Northeast Hospital, Philadelphia, PA, CCN 390115

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD436672PAMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Amh Medical Staff Service Fund CurrentSince Oct 30, 2012 Accepting new patients
Abington Memorial Hospital CurrentSince Jul 30, 2012 Accepting new patients
Abington Memorial Hospital Hematology & Oncology CurrentSince Jul 30, 2012 Accepting new patients
Womencare OB GYN, P.C. Past Accepting new patients

Locations

1235 Old York Rd
Ste G121
Abington, PA 19001
Phone (215) 517-1200

1200 Old York Rd
#1
Abington, PA 19001
Phone (215) 481-2400

1200 York Rd
Abington, PA 19001
Phone (215) 481-2222

3941 Commerce Ave
Willow Grove, PA 19090
Phone (215) 481-4000

2500 Maryland Rd
Ste 400
Willow Grove, PA 19090
Phone (215) 481-3915

2510 Maryland Rd
Ste 200
Willow Grove, PA 19090

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187308800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461801600000",
    "number": "1396937835",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "SUITE 1 WIDENER",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-2400",
            "fax_number": "215-481-7438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 OLD YORK RD",
            "address_2": "SUITE 1 WIDENER",
            "city": "ABINGTON",
            "state": "PA",
            "postal_code": "190013720",
            "telephone_number": "215-481-2400",
            "fax_number": "215-481-7438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FIDLER",
        "first_name": "CHRISTIAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-17",
        "last_updated": "2016-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "PA",
            "license": "MD436672",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Abington, PA

Sources for this page

Verify at the official NPI Registry.