Individual provider Active NPI

Stephen C Heeger, D.O.

  • Family Medicine Physician
  • Plainfield, IN
National Provider Identifier
1114926623
Registry record updated Mar 5, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000977 Issued in IN
Practice address
1100 Southfield Dr
Suite 1140
Plainfield, IN 46168-4498
Phone
(317) 839-7200
Fax
(317) 837-7926
NPI assigned
Jul 18, 2005
Last updated
Mar 5, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2000977 IN Primary

Addresses

Primary practice location

1100 Southfield Dr
Suite 1140
Plainfield, IN 46168-4498

Mailing address

1100 Southfield Dr
Suite 1140
Plainfield, IN 46168-4498
Phone (317) 839-7200

Other identifiers 1

IdentifierTypeStateIssuer
200350650MedicaidIN

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address sheeger228569@direct-PRD.stelizabeth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2000977INMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hendricks County Hospital Past Accepting new patients
Hendricks County Hospital Family Medicine Past Accepting new patients

Interoperability endpoints

  • FHIR API: https://sehproxy.stelizabeth.com/arr-fhir/api/FHIR/R4

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1121644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614902400000",
    "number": "1114926623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1140",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-839-7200",
            "fax_number": "317-837-7926"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1100 SOUTHFIELD DR",
            "address_2": "SUITE 1140",
            "city": "PLAINFIELD",
            "state": "IN",
            "postal_code": "461684498",
            "telephone_number": "317-839-7200",
            "fax_number": "317-837-7926"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEGER",
        "first_name": "STEPHEN",
        "middle_name": "C",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-18",
        "last_updated": "2021-03-05",
        "certification_date": "2021-03-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "2000977",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200350650",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sheeger228569@direct-PRD.stelizabeth.com",
            "affiliation": "N",
            "address_1": "1100 Southfield Dr",
            "address_2": "Suite 1140",
            "city": "Plainfield",
            "state": "IN",
            "country_code": "US",
            "postal_code": "461684498",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Plainfield, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2021; 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.