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JOHN T. HEFFERNAN M.D. NPI 1093791121


NPI Information

NPI: 1093791121
Provider Name: JOHN T. HEFFERNAN, M.D.
Classification: Ophthalmology - 207WX0200X
Entity Type: Individual

Specialization: Ophthalmic Plastic and Reconstructive Surgery

Organization: EVERGREEN EYE CENTER INC PS

PECOS Registration: Yes

Address:
1101 MADISON ST
SUITE 580
SEATTLE, WA
ZIP 98104
Phone: (206) 215-2052
Get Directions

John T. Heffernan, M.D. is an ophthalmic plastic and reconstructive surgery ophthalmology in Seattle, WA with 47 years of experience. The provider is a physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck. John T. Heffernan, M.D. NPI is 1093791121. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE
Graduation Year:1977

The provider's business location address is:

1101 MADISON ST
SUITE 580
SEATTLE, WA
ZIP 98104-306
Phone: (206) 215-2052
Fax: (206) 215-2280

The NPI 1093791121 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Eye and medical examination for diagnosis and treatment, established patient (HCPCS:92012)
  • Eye and medical examination for diagnosis and treatment, established patient, 1 or more visits (HCPCS:92014)
  • Eye and medical examination for diagnosis and treatment, new patient, 1 or more visits (HCPCS:92004)

The enumeration date for this NPI number is 12/20/2005 and was last updated on 1/24/2017.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207W00000XOphthalmologyMD00016843WASHINGTONNo
2207WX0200XOphthalmologyOphthalmic Plastic and Reconstructive SurgeryMD00016843WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
10036104OTHERWASHINGTONLABOR & INDUSTRIES
2180016727OTHERRAILROAD MEDICARE
3A06703MEDICARE UPIN
43862HEOTHERREGENCE HEALTHCARE
5G000150307MEDICARE PIN
6000150307MEDICARE PINWASHINGTON
7000150307MEDICARE ID-TYPE UNSPECIFIED
81777200MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.