Individual provider Active NPI

John Mark Heyer, M.D.

  • Family Medicine Physician
  • Glendale, AZ
National Provider Identifier
1033119581
Registry record updated Nov 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
7010 Issued in AZ
Practice address
10150 N 67TH Ave
Suite 101
Glendale, AZ 85302-1004
Phone
(623) 561-4547
Fax
(632) 412-4995
NPI assigned
Jul 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 7010 AZ Primary

Addresses

Primary practice location

10150 N 67TH Ave
Suite 101
Glendale, AZ 85302-1004

Mailing address

10150 N 67TH Ave
Suite 101
Glendale, AZ 85302-1004
Phone (623) 561-4547

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
7010AZMDFamily Medicine Physician

NPI Registry JSON

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

{
    "created_epoch": "1122422400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289347200000",
    "number": "1033119581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10150 N 67TH AVE",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021004",
            "telephone_number": "623-561-4547",
            "fax_number": "632-412-4995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10150 N 67TH AVE",
            "address_2": "SUITE 101",
            "city": "GLENDALE",
            "state": "AZ",
            "postal_code": "853021004",
            "telephone_number": "623-561-4547",
            "fax_number": "632-412-4995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYER",
        "first_name": "JOHN",
        "middle_name": "MARK",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-27",
        "last_updated": "2010-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "7010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2010; 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.