Organization Active NPI

Heffron Clinic, P.C.

  • Internal Medicine Physician
  • Adrian, MI
National Provider Identifier
1114063617
Registry record updated Mar 6, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
HEFFRON CLINIC, P.C.
Practice address
755 High St
Adrian, MI 49221-1442
Phone
(517) 265-2175
Fax
(517) 264-5926
NPI assigned
Jan 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 6, 2008

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

Authorized official

Name
Ms. Verlie B James
Title
Office Manager
Phone
(517) 265-8687

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

755 High St
Adrian, MI 49221-1442

Mailing address

755 High St
Adrian, MI 49221-1442
Phone (517) 265-2175

Other identifiers 1

IdentifierTypeStateIssuer
2854819MedicaidMI

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1170115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1114063617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "755 HIGH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211442",
            "telephone_number": "517-265-2175",
            "fax_number": "517-264-5926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "755 HIGH ST",
            "city": "ADRIAN",
            "state": "MI",
            "postal_code": "492211442",
            "telephone_number": "517-265-2175",
            "fax_number": "517-264-5926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEFFRON CLINIC, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-30",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "JAMES",
        "authorized_official_first_name": "VERLIE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "517-265-8687",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2854819",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Adrian, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 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.

Verify at the official NPI Registry.