CRAIG WILLIAM HEISE M.D. NPI 1629398912

NPI Information

  • NPI: 1629398912
  • Provider Name: CRAIG WILLIAM HEISE, M.D.
  • Classification: Family Medicine - 207Q00000X
  • Entity Type: Individual
  • PECOS Registration: Yes
  • Address: 1300 N 12TH ST
    SUITE 605
    PHOENIX, AZ
    ZIP 85006
  • Phone: (602) 839-2668

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NPI Details

Craig William Heise, M.D. is a family medicine in Phoenix, AZ with 16 years of experience. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Craig William Heise, M.D. NPI is 1629398912. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduation Year:2010

The provider's business location address is:

1300 N 12TH ST
SUITE 605
PHOENIX, AZ
ZIP 85006-848
Phone: (602) 839-2668
Fax: (602) 839-2067

The NPI 1629398912 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 6/9/2010 and was last updated on 8/2/2024.

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
1207PT0002XEmergency MedicineMedical Toxicology45475ARIZONANo
2207PT0002XEmergency MedicineMedical ToxicologyMD221429OREGONNo
3207PT0002XEmergency MedicineMedical ToxicologyU9545TEXASNo
4207PT0002XEmergency MedicineMedical ToxicologyME165028FLORIDANo
52083A0300XPreventive MedicineAddiction MedicineMD221429OREGONNo
62083A0300XPreventive MedicineAddiction Medicine45475ARIZONANo
72083A0300XPreventive MedicineAddiction MedicineME165028FLORIDANo
82083A0300XPreventive MedicineAddiction MedicineU9545TEXASNo
9207Q00000XFamily Medicine45475ARIZONAYes

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: 11/21/2025

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