JACQUELINE L. HEISER D.O. NPI 1962459941

NPI Information

NPI: 1962459941
Provider Name: JACQUELINE L. HEISER, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
265 W UNION ST STE A
ATHENS, OH
ZIP 45701
Phone: (740) 594-2456
Get Directions

Jacqueline L. Heiser, D.O. is a family medicine in Athens, OH. 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. Jacqueline L. Heiser, D.O. NPI is 1962459941. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

265 W UNION ST STE A
ATHENS, OH
ZIP 45701-313
Phone: (740) 594-2456
Fax: (740) 594-9630

The NPI 1962459941 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 5/27/2006 and was last updated on 6/1/2015.

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	License Number	License State	Primary
1	207P00000X	Emergency Medicine	34-007066	OHIO	No
2	207P00000X	Emergency Medicine	1914	WEST VIRGINIA	No
3	207Q00000X	Family Medicine	34.007066	OHIO	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	310917085094	OTHER	OHIO	CARESOURCE MEDICAID
2	5600439000	MEDICAID	WEST VIRGINIA
3	080160257	OTHER		RR MEDICARE
4	0890114	MEDICARE PIN	OHIO
5	H02251	MEDICARE UPIN	OHIO
6	000000181876	OTHER	OHIO	UNISON MEDICAID
7	000000196979	OTHER		ANTHEM BCBS
8	2133702	OTHER	OHIO	MOLINA MEDICAID
9	0890113	MEDICARE PIN	OHIO
10	2133702	MEDICAID	OHIO
11	0890112	MEDICARE PIN	WEST VIRGINIA

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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