DR. JACOB WAYNE HECK DPM NPI 1083916241

NPI Information

NPI: 1083916241
Provider Name: DR. JACOB WAYNE HECK, DPM
Classification: Podiatrist - 213ES0103X
Entity Type: Individual

Specialization: Foot & Ankle Surgery

Organization: KAISER FOUNDATION HEALTH PLAN OF THE NORTHWEST

PECOS Registration: Yes

Address:
1720 COOKS HILL RD
CENTRALIA, WA
ZIP 98531
Phone: (360) 736-2527
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DR. Jacob Wayne Heck, DPM is a foot and ankle surgery podiatrist in Centralia, WA with 16 years of experience. DR. Jacob Wayne Heck, DPM NPI is 1083916241. 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:

1720 COOKS HILL RD
CENTRALIA, WA
ZIP 98531-071
Phone: (360) 736-2527

The NPI 1083916241 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).

The enumeration date for this NPI number is 11/22/2010 and was last updated on 10/2/2012.

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	213ES0103X	Podiatrist	Foot & Ankle Surgery	SC006058	PENNSYLVANIA	No
2	213ES0103X	Podiatrist	Foot & Ankle Surgery	PO60228667	WASHINGTON	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: 11/14/2023

NPI Synchronization or Removal

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