John Claymon Heisey Jr., M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MD014667E Issued in PA

Practice address

4885 Demoss Rd
Suite 200
Reading, PA 19606-9023

Phone

(610) 779-0300

Fax

(610) 779-8083

NPI assigned

Jul 26, 2006

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1337299200000",
    "number": "1003830951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 COMMERCE DR",
            "city": "WYOMISSING",
            "state": "PA",
            "postal_code": "196103335",
            "telephone_number": "610-372-8044",
            "fax_number": "484-334-7026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 DEMOSS RD",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069023",
            "telephone_number": "610-779-0300",
            "fax_number": "610-779-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISEY",
        "first_name": "JOHN",
        "middle_name": "CLAYMON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2012-05-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "MD014667E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000645838",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heavenly Blessed Care LLC
• Aaron Cole Hechtman, D.O.
• Tricia Heffelfinge, RN
• Denise I Heifer, LSW
• Ann-Marie Kuntz Heilman, BOARD CERTIFIED BEHA
• Fredericka Sawyer Heller, M.D.
• Amy Lee Hendrix, N.P.
• Jason Errol Hendrix, D.O.
• Kathleen Mary Henley, D.O.
• Amy Henneman, MS CCC-SLP

• Internal Medicine Physician in Reading, PA
• Providers in Reading, PA by specialty
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 18, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.