1184706475 NPI number — DR. JOHN E HEESS MD

Table of content: DR. JOHN E HEESS MD (NPI 1184706475)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184706475 NPI number — DR. JOHN E HEESS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
HEESS
Provider First Name:
JOHN
Provider Middle Name:
E
Provider Name Prefix Text:
DR.
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1184706475
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
11/15/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 2287
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BAKERSFIELD
Provider Business Mailing Address State Name:
CA
Provider Business Mailing Address Postal Code:
93303-2287
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
661-334-1958
Provider Business Mailing Address Fax Number:
661-324-4095

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1100 LAS TABLAS RD
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
TEMPLETON
Provider Business Practice Location Address State Name:
CA
Provider Business Practice Location Address Postal Code:
93465-9704
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
805-434-3500
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
10/19/2006

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207L00000X , with the licence number:  A60636 , registered in the state of CA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: ZZZ21367Z . This is a "EMPIRE SURGERY CENTER" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ15998Z . This is a "MERCY SW HOSPITAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: P00397229 . This is a "INDIVIDUAL RAILROAD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: CD4582 . This is a "GROUP RAILROAD" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ15999Z . This is a "MEMORIAL HOSPITAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ21365Z . This is a "PPSC" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: 00A606360 , issued by the state of ( CA ) . This identifiers is of the category "MEDICAID".
  • Identifier: ZZZ21366Z . This is a "SWSC" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".
  • Identifier: ZZZ34009Z . This is a "MERCY HOSPITAL" identifier , issued by the state of ( CA ) . This identifiers is of the category "OTHER".




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