Carl W. Heise, M.D.

Primary specialty

SpecialistTaxonomy code 174400000X

License

185547 Issued in NY

Practice address

420 E 72ND St
Suite 1J
New York, NY 10021-4650

Phone

(212) 988-4815

Fax

(212) 955-1122

NPI assigned

Jul 28, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Practice roles

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

• Spine and Peripheral Neurocare, PC

  • Neurology Physician
  • New York, NY
  • NPI 1275720278
  NPD (past) Authorized official

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

{
    "created_epoch": "1154044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310342400000",
    "number": "1154335776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 E 72ND ST",
            "address_2": "SUITE 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214650",
            "telephone_number": "212-988-4815",
            "fax_number": "212-955-1122"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "420 E 72ND ST",
            "address_2": "SUITE 1J",
            "city": "NEW YORK",
            "state": "NY",
            "postal_code": "100214650",
            "telephone_number": "212-988-4815",
            "fax_number": "212-955-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEISE",
        "first_name": "CARL",
        "middle_name": "W.",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-28",
        "last_updated": "2011-07-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "NY",
            "license": "185547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory Heinonen, MD
• Brittany Heins, M.D.
• Katherine Eileen Heins, LMSW
• Nicole Katherine Heinz, PA
• Kevin Douglas Heinze, MD
• Stefan Heise, L.M.S.W.
• Heisenberg-Esser Corp.
• Daniel Heiser, R.R.A RT(R) VI
• Arthur Heiserman, PH.D
• David Robert Heisler, LCSW

• Specialist in New York, NY
• Providers in New York, NY by specialty
• Specialist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 11, 2011; 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.