Active NPI
Anna Henry Heisser, MD
- Allergy Physician
- San Antonio, TX
National Provider Identifier
1104891365
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Allergy Physician
- License
- K5114
- Practice address
- 5788 Eckhert Rd
C/O Allergy Clinic
San Antonio, TX 78240-3900 - Phone
- (210) 699-2298
- NPI assigned
- Feb 21, 2006
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Allergy Physician | 207KA0200X | K5114 | TX | Primary |
Addresses
Primary practice location
5788 Eckhert Rd
C/O Allergy Clinic
San Antonio, TX 78240-3900
Mailing address
5788 Eckhert Rd
San Antonio, TX 78240-3900
Phone (210) 699-2298
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20131019000029 | TX | Order and Referring Only - Allergy/Immunology | 0941370761 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| K5114 | TX | MD | Allergy Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1140480000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1207872000000",
"number": "1104891365",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5788 ECKHERT RD",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403900",
"telephone_number": "210-699-2298"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5788 ECKHERT RD",
"address_2": "C/O ALLERGY CLINIC",
"city": "SAN ANTONIO",
"state": "TX",
"postal_code": "782403900",
"telephone_number": "210-699-2298"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISSER",
"first_name": "ANNA",
"middle_name": "HENRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-02-21",
"last_updated": "2008-04-11",
"status": "A"
},
"taxonomies": [
{
"code": "207KA0200X",
"taxonomy_group": "",
"desc": "Allergy & Immunology, Allergy",
"state": "TX",
"license": "K5114",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in San Antonio, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.