Southeastern Berks Internal Medicine Associates,LTD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

SOUTHEASTERN BERKS INTERNAL MEDICINE ASSOCIATES,LTD

Practice address

4885 Demoss Rd
Suite 200
Reading, PA 19606-9023

Phone

(610) 779-0300

Fax

(610) 779-8083

NPI assigned

Jul 12, 2006

Organization subpart

No

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

Authorized official

Name

Dr. John Claymont Heisey

Title

President Physician

Phone

(610) 779-0300

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124053780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4885 DEMOSS RD",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069023",
            "telephone_number": "610-779-0300",
            "fax_number": "610-779-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4885 DEMOSS RD",
            "address_2": "SUITE 200",
            "city": "READING",
            "state": "PA",
            "postal_code": "196069023",
            "telephone_number": "610-779-0300",
            "fax_number": "610-779-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHEASTERN BERKS INTERNAL MEDICINE ASSOCIATES,LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEISEY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "CLAYMONT",
        "authorized_official_title_or_position": "PRESIDENT PHYSICIAN",
        "authorized_official_telephone_number": "610-779-0300",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Sonia Spadafora, DMD
• Haley Christine Walsh Spagnola, D.O.
• Spark ABA LLC

• All providers in Reading, PA
• Internal Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.