Individual
DR. JASON ERIC HIMMEL
Active
Individual
DR. JASON ERIC HIMMEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
04-32462
KS
2085R0202X
Diagnostic Radiology Physician
Primary
23289
NE
2085R0202X
Diagnostic Radiology Physician
36189
IA
2085R0204X
Vascular & Interventional Radiology Physician
04-32462
KS
2085R0204X
Vascular & Interventional Radiology Physician
2008009083
MO
2085R0204X
Vascular & Interventional Radiology Physician
MED-PHYS-LIC-105069
MT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200554790B
—
KS
05
—
20554790A
—
KS
Enumeration date
04/17/2007
Last updated
11/06/2025
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