Active NPI
Samuel R. Heiser, MD PC
- Surgery Physician
- Noblesville, IN
National Provider Identifier
1114234705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100127010 | Medicaid | IN |
National Provider Directory
National Provider DirectoryLocations
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.