Jonathan B. Heistein, MD, PA

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

L3330 Issued in TX

Legal business name

JONATHAN B. HEISTEIN, MD, PA

Practice address

800 8TH Ave Ste 240
Fort Worth, TX 76104-2619

Phone

(817) 820-0000

NPI assigned

Dec 9, 2008

Organization subpart

No

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

Authorized official

Name

Julie Anne Makarwich

Title

Office Manager

Phone

(817) 820-0000

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jonathan Barry Heistein, M.D.

  • Plastic Surgery Physician
  • Fort Worth, TX
  • NPI 1972590404
  Medicare reassignment Care Compare group NPD
• Lindsey Hope Tavakolian, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Southlake, TX
  • NPI 1669904173

  Plastic Surgery

  Medicare reassignment Care Compare group NPD
• Vishnu K Rumalla

  • Specialist
  • Keller, TX
  • NPI 1215964572
  NPD (past)

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

{
    "created_epoch": "1228780800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1228780800000",
    "number": "1114162807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042619",
            "telephone_number": "817-820-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 8TH AVE STE 240",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761042619",
            "telephone_number": "817-820-0000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN B. HEISTEIN, MD, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-09",
        "last_updated": "2008-12-09",
        "status": "A",
        "authorized_official_last_name": "MAKARWICH",
        "authorized_official_first_name": "JULIE",
        "authorized_official_middle_name": "ANNE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "817-820-0000"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": "TX",
            "license": "L3330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Oludayo Jolayemi
• Carolyn Jolly
• Jolyn M Allen Pmhnp PLLC
• Jon Kurkjian M.D., P.a.
• Jon P. McCreary, D.P.M., PLLC
• Jonathan C. Snead, MD, PA Dba: Alliance Women's Healthcare (Alliance Women's Healthcare)
• A'Vonte L. Jones, PA-C
• Aleshia Jones, LPC
• Alice Jones
• Asia Kamari - Shadell Jones, CD, CPM, LM

• Plastic Surgery Physician in Fort Worth, TX
• Providers in Fort Worth, TX by specialty
• Plastic Surgery Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 9, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.