NPIMap

Individual provider Active NPI

Philip A Neiderer, DO

  • Internal Medicine Physician
  • Carlisle, PA
National Provider Identifier
1922093509
Registry record updated Jan 17, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
05007162L Issued in PA
Practice address
220 Wilson St
Ste 109
Carlisle, PA 17013-3697
Phone
(717) 249-1929
Fax
(717) 249-9332
NPI assigned
Sep 20, 2005
Last updated
Jan 17, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 17, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 05007162L PA Primary

Addresses

Primary practice location

220 Wilson St
Ste 109
Carlisle, PA 17013-3697

Mailing address

3421 Concord Rd
York, PA 17402-9001
Phone (717) 249-1929

Other identifiers 1

IdentifierTypeStateIssuer
0012281320002MedicaidPA

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address philip.neiderer.p1@direct.masland.nextgenshare.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Philadelphia College of Osteopathic Medicine, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

281 N Old Stonehouse Rd
Carlisle, PA 17015-8513

3421 Concord Rd
York, PA 17402-9001

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
05007162LPAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellspan Medical Group Current Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

25 Monument Rd
Ste 270
York, PA 17403
Phone (717) 741-8250

3421 Concord Rd
York, PA 17402
Phone (717) 851-2441

Interoperability endpoints

  • Direct secure messaging: pneiderer300837@wellspan.direct-ci.com

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.

Hospital & facility affiliations 17

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

View all 17

NPI Registry JSON

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

{
    "created_epoch": "1127174400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1673913600000",
    "number": "1922093509",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3421 CONCORD RD",
            "city": "YORK",
            "state": "PA",
            "postal_code": "174029001",
            "telephone_number": "717-249-1929",
            "fax_number": "717-249-9332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "220 WILSON ST",
            "address_2": "STE 109",
            "city": "CARLISLE",
            "state": "PA",
            "postal_code": "170133697",
            "telephone_number": "717-249-1929",
            "fax_number": "717-249-9332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEIDERER",
        "first_name": "PHILIP",
        "middle_name": "A",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-20",
        "last_updated": "2023-01-17",
        "certification_date": "2023-01-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "05007162L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0012281320002",
            "state": "PA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "philip.neiderer.p1@direct.masland.nextgenshare.com",
            "affiliation": "N",
            "endpointDescription": "Direct Address through NextGen Share",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "220 Wilson St",
            "address_2": "Ste 109",
            "city": "Carlisle",
            "state": "PA",
            "country_code": "US",
            "postal_code": "170133697",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Carlisle, PA

Sources for this page

Verify at the official NPI Registry.