Organization Active NPI

Doylestown Gynecology, LLC

  • Gynecology Physician
  • Doylestown, PA
National Provider Identifier
1023044609
Registry record updated Jul 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
DOYLESTOWN GYNECOLOGY, LLC
Practice address
1456 Ferry Rd
Suite 402
Doylestown, PA 18901-2391
Phone
(215) 348-2992
Fax
(215) 348-2052
NPI assigned
Jun 24, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2010

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

Authorized official

Name
Dr. Caroline R HeiseNPI 1467444596
Title
Owner/Physician
Phone
(215) 348-2992

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X PA Primary

Addresses

Primary practice location

1456 Ferry Rd
Suite 402
Doylestown, PA 18901-2391

Mailing address

1456 Ferry Rd
Suite 402
Doylestown, PA 18901-2391
Phone (215) 348-2992

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040920000197 PA Part B Supplier - Clinic/Group Practice 7113995028 Receives reassigned benefits from 4 practitioners
Practice locations: Doylestown, PA

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0901280Doylestown Gynecology1456 Ferry Road, Doylestown, PA 18901Provider-performed microscopyMay 21, 2027

National Provider Directory

National Provider Directory

Locations

14 Memorial Dr
Ste A
Doylestown, PA 18901
Phone (215) 345-5144

1456 Ferry Rd
Ste 402
Doylestown, PA 18901
Phone (215) 348-2992

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151107200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1279497600000",
    "number": "1023044609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD",
            "address_2": "SUITE 402",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012391",
            "telephone_number": "215-348-2992",
            "fax_number": "215-348-2052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1456 FERRY RD",
            "address_2": "SUITE 402",
            "city": "DOYLESTOWN",
            "state": "PA",
            "postal_code": "189012391",
            "telephone_number": "215-348-2992",
            "fax_number": "215-348-2052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOYLESTOWN GYNECOLOGY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-24",
        "last_updated": "2010-07-19",
        "status": "A",
        "authorized_official_last_name": "HEISE",
        "authorized_official_first_name": "CAROLINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER/PHYSICIAN",
        "authorized_official_telephone_number": "215-348-2992",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Doylestown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.