Individual provider Active NPI

Robert J Heineck, M.D.

  • Obstetrics & Gynecology Physician
  • Myrtle Beach, SC
National Provider Identifier
1013113893
Registry record updated Jun 16, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
29997 Issued in SC
Practice address
4320 Holmestown Rd
Myrtle Beach, SC 29588
Phone
(843) 546-3132
Fax
(843) 546-2268
NPI assigned
Jun 27, 2007
Last updated
Jun 16, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 29997 SC Primary

Addresses

Primary practice location

4320 Holmestown Rd
Myrtle Beach, SC 29588

Mailing address

PO Box 421718
Georgetown, SC 29442-4203
Phone (843) 652-8226

Other practice location 1

2095 Henry Tecklenburg Dr
Charleston, SC 29414-5733
Phone (843) 789-1892

Other identifiers 1

IdentifierTypeStateIssuer
299974MedicaidSC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address dshotton@tidelandshealth.org Direct
Direct Messaging Address robert.heineck@thg.eclinicaldirectplus.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180724002428 SC Practitioner - Obstetrics/Gynecology 3375799257 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of South Carolina School of Medicine, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Anmed HealthGroup PAC ID 1951215243, 348 clinicians

Practice addresses (Care Compare)

803 N Fant St
Anderson, SC 29621-5700
Phone (864) 512-4500

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
29997SCMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Fetter Health Care Network, Inc. Current Accepting new patients
Roper Saint Francis Physicians Network Current Accepting new patients
Fetter Health Care Network, Inc CurrentSince Sep 19, 2023 Accepting new patients
Anmed Health CurrentSince Aug 26, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Obhg South Carolina PC Obstetrics & Gynecology CurrentSince Jan 1, 2021 Accepting new patients
Roper Saint Francis Physicians Network Obstetrics & Gynecology CurrentSince Jul 9, 2021 Accepting new patients
Anmed Health Current Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Roper Saint Francis Physicians Network Obstetrics & Gynecology CurrentSince Jul 9, 2021 Accepting new patients
Anmed Health Obstetrics & Gynecology CurrentSince Aug 26, 2024 Accepting new patients
Fetter Health Care Network, Inc. CurrentSince Sep 19, 2023 Accepting new patients
Anmed Health Past Accepting new patients
Anmed Health Past Accepting new patients

Locations

2000 E Greenville St
Fl 3
Anderson, SC 29621
Phone (864) 225-5131

803 N Fant St
Anderson, SC 29621
Phone (864) 226-3006

2095 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 402-1037

2097 Henry Tecklenburg Dr
Charleston, SC 29414
Phone (843) 571-6868

35 Walnut St
Charleston, SC 29403
Phone (843) 723-9477

51 Nassau St
Charleston, SC 29403

895 Tiger Blvd
Clemson, SC 29631
Phone (864) 512-4530

555 E Cheves St
Florence, SC 29506
Phone (843) 662-5233

106 W Main St
Moncks Corner, SC 29461
Phone (843) 761-1995

2075 Eagle Landing Blvd
North Charleston, SC 29406
Phone (843) 797-5747

9330 Medical Plaza Dr
North Charleston, SC 29406
Phone (843) 554-6366

130 Varnfield Dr
Ste 100
Summerville, SC 29483
Phone (843) 821-3444

679 Orangeburg Rd
Unit F
Summerville, SC 29483
Phone (843) 261-2600

302 Medical Park Dr
Walterboro, SC 29488
Phone (843) 549-6853

302 Medical Park Dr
Ste 111
Walterboro, SC 29488
Phone (843) 549-6853

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: rheineck1251551@direct.bsmhealth.org
  • Direct secure messaging: rheineck81577@direct.anmedhealth.net

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623801600000",
    "number": "1013113893",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 421718",
            "city": "GEORGETOWN",
            "state": "SC",
            "postal_code": "294424203",
            "telephone_number": "843-652-8226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4320 HOLMESTOWN RD",
            "city": "MYRTLE BEACH",
            "state": "SC",
            "postal_code": "29588",
            "telephone_number": "843-546-3132",
            "fax_number": "843-546-2268"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2095 Henry Tecklenburg Dr",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294145733",
            "country_code": "US",
            "telephone_number": "843-789-1892",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINECK",
        "first_name": "ROBERT",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-06-27",
        "last_updated": "2021-06-16",
        "certification_date": "2021-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "SC",
            "license": "29997",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "299974",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dshotton@tidelandshealth.org",
            "affiliation": "N",
            "endpointDescription": "Credentialing Coordinator",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Credentialing Coordinator",
            "address_1": "4320 Holmestown Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295887837",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.heineck@thg.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4320 Holmestown Rd",
            "city": "Myrtle Beach",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295887837",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Myrtle Beach, SC

Sources for this page

Verify at the official NPI Registry.