Organization Active NPI

Samuel R. Heiser, MD PC

  • Surgery Physician
  • Noblesville, IN
National Provider Identifier
1114234705
Registry record updated Sep 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
SAMUEL R. HEISER, MD PC
Practice address
450 Lafayette Rd
Noblesville, IN 46060-1305
Phone
(317) 776-8748
Fax
(317) 773-0314
NPI assigned
Sep 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 3, 2010

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

Authorized official

Name
Pam Switzer
Title
Billing Manager
Phone
(317) 776-8748

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

450 Lafayette Rd
Noblesville, IN 46060-1305

Mailing address

450 Lafayette Rd
Noblesville, IN 46060-1305
Phone (317) 776-8748

Other identifiers 1

IdentifierTypeStateIssuer
100127010MedicaidIN

National Provider Directory

National Provider Directory

Locations

450 Lafayette Rd
Noblesville, IN 46060
Phone (317) 773-0883

NPI Registry JSON

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

{
    "created_epoch": "1283472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283472000000",
    "number": "1114234705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "450 LAFAYETTE RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601305",
            "telephone_number": "317-776-8748",
            "fax_number": "317-773-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 LAFAYETTE RD",
            "city": "NOBLESVILLE",
            "state": "IN",
            "postal_code": "460601305",
            "telephone_number": "317-776-8748",
            "fax_number": "317-773-0314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL R. HEISER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-03",
        "last_updated": "2010-09-03",
        "status": "A",
        "authorized_official_last_name": "SWITZER",
        "authorized_official_first_name": "PAM",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "317-776-8748"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100127010",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Noblesville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 3, 2010; 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.