Provider Demographics
NPI:1679670855
Name:WIMPFHEIMER, ORIT (MD)
Entity Type:Individual
Prefix:DR
First Name:ORIT
Middle Name:
Last Name:WIMPFHEIMER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16 ASHER STREET
Mailing Address - Street 2:
Mailing Address - City:BEIT SHEMESH
Mailing Address - State:ISRAEL
Mailing Address - Zip Code:99546
Mailing Address - Country:IL
Mailing Address - Phone:9722-999-4550
Mailing Address - Fax:9722-999-8745
Practice Address - Street 1:16 ASHER STREET
Practice Address - Street 2:
Practice Address - City:BEIT SHEMESH
Practice Address - State:ISRAEL
Practice Address - Zip Code:99546
Practice Address - Country:IL
Practice Address - Phone:866-260-8820
Practice Address - Fax:9722-999-8745
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD4183472085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NYH16235Medicare UPIN
NY975831Medicare ID - Type Unspecified