Fred Raymond Himmelstein, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD024348E Issued in PA

Practice address

1015 W Baltimore Pike
Jennersville Regional Hospital
West Grove, PA 19390-9499

Phone

(610) 869-1000

Fax

(610) 617-6280

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

Yes

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

Enrolled in DE

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 Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: fhimmels@yourcarecommunity.org

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.

• Bayhealth Emergency Physicians LLC

  • Emergency Medicine Physician
  • Dover, DE
  • NPI 1073012696
  Medicare reassignment NPD

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1358812800000",
    "number": "1447203138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "203 BARN HILL RD",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193822334",
            "telephone_number": "610-429-9702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1015 W BALTIMORE PIKE",
            "address_2": "JENNERSVILLE REGIONAL HOSPITAL",
            "city": "WEST GROVE",
            "state": "PA",
            "postal_code": "193909499",
            "telephone_number": "610-869-1000",
            "fax_number": "610-617-6280"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HIMMELSTEIN",
        "first_name": "FRED",
        "middle_name": "RAYMOND",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2013-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD024348E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000949860",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• David Hardic, OD
• Harmony Counseling Center
• George Keith Henry, MD
• Diane C Hernandez, DMD
• Dawn Michelle Highfield, MSPT
• Julie Drew Holcombe, RBT
• Karen Hopkins, PT
• Diane Catherine Hudak
• Kimberly Huntington, OT
• Kristin M Inagaki, OT

• Emergency Medicine Physician in West Grove, PA
• Providers in West Grove, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2013; 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.