Individual provider Active NPI

Frederick J. Michel, M.D.

  • Family Medicine Physician
  • Harrisburg, PA
National Provider Identifier
1528086766
Registry record updated Nov 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
440867 Issued in PA
Practice address
121 Nyes Rd # II
Suite F
Harrisburg, PA 17112-3247
Phone
(717) 214-6545
Fax
(717) 531-0639
NPI assigned
Jul 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 9, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 440867 PA Primary

Addresses

Primary practice location

121 Nyes Rd # II
Suite F
Harrisburg, PA 17112-3247

Mailing address

600 Centerview Dr
PO Box 855 MC A525
Hershey, PA 17033-2902
Phone (717) 531-5944

Other identifiers 2

IdentifierTypeStateIssuer
93007843OtherRR MEDICARE PIN
CB5773OtherRR MEDICARE GROUP

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

State licenses

LicenseStateTypeSpecialty
440867PAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
New Lexington Clinic, PSC Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1153094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1320796800000",
    "number": "1528086766",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 CENTERVIEW DR",
            "address_2": "PO BOX 855 MC A525",
            "city": "HERSHEY",
            "state": "PA",
            "postal_code": "170332902",
            "telephone_number": "717-531-5944",
            "fax_number": "717-531-4188"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 NYES RD # II",
            "address_2": "SUITE F",
            "city": "HARRISBURG",
            "state": "PA",
            "postal_code": "171123247",
            "telephone_number": "717-214-6545",
            "fax_number": "717-531-0639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MICHEL",
        "first_name": "FREDERICK",
        "middle_name": "J.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-17",
        "last_updated": "2011-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "440867",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE PIN",
            "identifier": "93007843",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP",
            "identifier": "CB5773",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrisburg, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2011; 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.