Active NPI
Edward L Hildrew, DO
- Emergency Medicine Physician
- Harrisburg, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- OS003464L
- Practice address
- 111 S Front St
Harrisburg, PA 17101 - Phone
- (717) 988-0000
- Fax
- (717) 782-5716
- NPI assigned
- Aug 17, 2006
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | OS003464L | PA | Primary |
| Family Medicine Physician | 207Q00000X | OS003464L | PA |
Addresses
Primary practice location
111 S Front St
Harrisburg, PA 17101
Mailing address
409 S 2ND St
Suite 2F
Harrisburg, PA 17104-1612
Other practice location 1
400 Loucks Rd
York, PA 17404-1724
Phone (717) 845-2273
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001613525 | Medicaid | PA | |
| 50032030 | Other | PA | CAPITAL BC |
| 000024197 | Other | PA | HIGHMARK BS |
| 1514916 | Other | PA | GATEWAY |
| 30024130 | Other | PA | KEYSTONE MERCY |
| 13040 | Other | PA | GEISINGER |
| 141300 | Other | PA | UNISON |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medexpress Urgent Care, PC-Pennsylvania | Emergency Medicine | Current | Accepting new patients |
| Urgent Care, PC - Pennsylvania | Emergency Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | Current | Accepting new patients |
| Pinnacle Health Emergency Department Services LLC | Emergency Medicine | Current | Accepting new patients |
| Medexpress Urgent Care, PC - Pennsylvania | Emergency Medicine | Past | Accepting new patients |
Locations
4808 Edgmont Ave
Brookhaven, PA 19015
Phone (610) 876-3072
409 S 2nd St
Ste 2F
Harrisburg, PA 17104
Phone (717) 231-8049
111 S Front St
Harrisburg, PA 17101
Phone (717) 782-3282
7219 McKnight Rd
Ste F
Pittsburgh, PA 15237
Phone (412) 367-3278
400 Loucks Rd
York, PA 17404
Phone (717) 845-2273
423 Fortress Blvd
Morgantown, WV 26508
Phone (844) 852-9510
Interoperability endpoints
- edward.hildrew.1@27404.direct.athenahealth.com
Organizations & group practices 5
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.
-
- Emergency Medicine Physician
- Harrisburg, PA
- NPI 1487693404
-
- Emergency Medicine Physician
- Pittsburgh, PA
- NPI 1982839031
-
- Urgent Care Clinic/Center
- Saint Clair, PA
- NPI 1720545320
Emergency Medicine
-
- Urgent Care Clinic/Center
- Wilkes Barre, PA
- NPI 1518256080
Emergency Medicine
-
- Urgent Care Clinic/Center
- York, PA
- NPI 1558642991
Emergency Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1716249600000",
"number": "1831202373",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "409 S 2ND ST",
"address_2": "SUITE 2F",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "171041612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 S FRONT ST",
"city": "HARRISBURG",
"state": "PA",
"postal_code": "17101",
"telephone_number": "717-988-0000",
"fax_number": "717-782-5716"
}
],
"practiceLocations": [
{
"address_1": "400 Loucks Rd",
"address_purpose": "LOCATION",
"city": "York",
"state": "PA",
"postal_code": "174041724",
"country_code": "US",
"telephone_number": "717-845-2273",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HILDREW",
"first_name": "EDWARD",
"middle_name": "L",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-17",
"last_updated": "2024-05-21",
"certification_date": "2024-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "OS003464L",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "OS003464L",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001613525",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAPITAL BC",
"identifier": "50032030",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BS",
"identifier": "000024197",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GATEWAY",
"identifier": "1514916",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "KEYSTONE MERCY",
"identifier": "30024130",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GEISINGER",
"identifier": "13040",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNISON",
"identifier": "141300",
"state": "PA"
}
],
"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 May 21, 2024; 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.