Individual provider Active NPI

Karen Pheasant, DO

  • Emergency Medicine Physician
  • Frederick, MD
National Provider Identifier
1992911788
Registry record updated May 19, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
OS014369 Issued in PA
Practice address
400 W 7TH St
Frederick, MD 21701-4506
Phone
(240) 566-3500
NPI assigned
May 16, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2014

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X OS014369 PA Primary
Emergency Medicine Physician 207P00000X H0068679 MD

Addresses

Primary practice location

400 W 7TH St
Frederick, MD 21701-4506

Mailing address

3884 Carriage Hill Dr
Frederick, MD 21704-7313
Phone (814) 883-2714

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
I20131029000844 PA Practitioner - Emergency Medicine 7810035938 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OS014369PAMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Centre Emergency Medical Associates, PC. Emergency Medicine CurrentSince Mar 6, 2017 Accepting new patients
Emergency Physician Associates, PA PastSince Jun 28, 1999 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

155 Wellness Way
State College, PA 16803
Phone (800) 367-0179

Organizations & group practices 3

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": "1179273600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1400457600000",
    "number": "1992911788",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3884 CARRIAGE HILL DR",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217047313",
            "telephone_number": "814-883-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 W 7TH ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014506",
            "telephone_number": "240-566-3500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PHEASANT",
        "first_name": "KAREN",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-16",
        "last_updated": "2014-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "OS014369",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MD",
            "license": "H0068679",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

Verify at the official NPI Registry.