Active NPI
Joel H Heller, MD
- Family Medicine Physician
- Greensboro, NC
National Provider Identifier
1033299680
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 20605
- Practice address
- 603A Dolley Madison Rd
Greensboro, NC 27410-4205 - Phone
- (336) 294-6190
- Fax
- (336) 294-6278
- NPI assigned
- Oct 17, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 20605 | NC | Primary |
Addresses
Primary practice location
603A Dolley Madison Rd
Greensboro, NC 27410-4205
Mailing address
PO Box 14883
Greensboro, NC 27415-4883
Phone (336) 294-6190
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5556 | Other | NC | PARTNERS MEDICARE |
| 8941187 | Medicaid | NC | |
| 45804 | Other | NC | MEDCOST |
| 41187 | Other | NC | BCBS OF NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 20605 | NC | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eagle Physicians and Associates PA | Past | Accepting new patients | |
| Eagle Physicians and Associates PA | Family Medicine | Past | Accepting new patients |
| Eagle Physicians and Associates PA | Past | Accepting new patients |
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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-
- Sleep Medicine (Internal Medicine) Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1199923200000",
"number": "1033299680",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 14883",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274154883",
"telephone_number": "336-294-6190",
"fax_number": "336-294-6278"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "603A DOLLEY MADISON RD",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274104205",
"telephone_number": "336-294-6190",
"fax_number": "336-294-6278"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "JOEL",
"middle_name": "H",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-17",
"last_updated": "2008-01-10",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "20605",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PARTNERS MEDICARE",
"identifier": "5556",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8941187",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "45804",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "41187",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.