TANNER JAY HECKLE MD MPH NPI 1073073433

NPI Information

NPI: 1073073433
Provider Name: TANNER JAY HECKLE, MD, MPH
Classification: Pediatrics - 2080P0204X
Entity Type: Individual

Specialization: Pediatric Emergency Medicine

PECOS Registration: Yes

Address:
3333 BURNET AVE # MLC2008
CINCINNATI, OH
ZIP 45229
Phone: (513) 636-7966
Get Directions

Tanner Jay Heckle, MD, MPH is a pediatric emergency medicine pediatrics in Cincinnati, OH. The provider is a pediatrician who has special qualifications to manage emergencies in infants and children. Tanner Jay Heckle, MD, MPH NPI is 1073073433. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3333 BURNET AVE # MLC2008
CINCINNATI, OH
ZIP 45229-026
Phone: (513) 636-7966

The NPI 1073073433 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 enumeration date for this NPI number is 3/21/2019 and was last updated on 7/15/2023.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	208000000X	Pediatrics		MDRE.ML.60950099	WASHINGTON	No
2	2080P0204X	Pediatrics	Pediatric Emergency Medicine	35.144654	OHIO	Yes

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: 4/28/2024

NPI Synchronization or Removal

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