Organization Active NPI

Kamel Inc.

  • Family Medicine Physician
  • Kokomo, IN
National Provider Identifier
1043409758
Registry record updated Oct 15, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
01044350A Issued in IN
Legal business name
KAMEL INC.
Doing business as
Eric J. Heathers MD
Practice address
3508 S Lafountain St
Kokomo, IN 46902-3803
Phone
(765) 864-5704
Fax
(765) 864-5720
NPI assigned
Oct 18, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2012

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

Authorized official

Name
Dr. Eric J Heathers, RN
Title
Manager
Phone
(765) 864-5704

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 01044350A IN Primary

Addresses

Primary practice location

3508 S Lafountain St
Kokomo, IN 46902-3803

Mailing address

3508 S Lafountain St
Kokomo, IN 46902-3803
Phone (765) 864-5704

Other names 1

  • Eric J. Heathers MD Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1192665600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1350259200000",
    "number": "1043409758",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3508 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023803",
            "telephone_number": "765-864-5704",
            "fax_number": "765-864-5720"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3508 S LAFOUNTAIN ST",
            "city": "KOKOMO",
            "state": "IN",
            "postal_code": "469023803",
            "telephone_number": "765-864-5704",
            "fax_number": "765-864-5720"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAMEL INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-18",
        "last_updated": "2012-10-15",
        "status": "A",
        "authorized_official_last_name": "HEATHERS",
        "authorized_official_first_name": "ERIC",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "765-864-5704",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01044350A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Eric J. Heathers MD",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kokomo, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 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.