JACK N HEHMEYER PA NPI 1629064977

NPI Information

NPI: 1629064977
Provider Name: JACK N HEHMEYER, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

PECOS Registration: Yes

Address:
1205 E 35TH ST
TEXARKANA, AR
ZIP 71854
Phone: (903) 735-5355
Get Directions

Jack N Hehmeyer, PA is a medical physician assistant in Texarkana, AR. Jack N Hehmeyer, PA NPI is 1629064977. 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:

1205 E 35TH ST
TEXARKANA, AR
ZIP 71854-746
Phone: (903) 735-5355
Fax: (903) 735-5399

The NPI 1629064977 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 9/22/2005 and was last updated on 3/26/2008.

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	363AM0700X	Physician Assistant	Medical	PA03299	TEXAS	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	87N264	MEDICARE PIN	TEXAS
2	8N4180	OTHER	TEXAS	BLUE CROSS
3	P50526	MEDICARE UPIN
4	55158P067	MEDICARE PIN	ARKANSAS
5	PA-193	OTHER	ARKANSAS	LICENSE

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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