Geoffrey B Heron, M.D., P.C.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

17723 Issued in CO

Legal business name

GEOFFREY B HERON, M.D., P.C.

Practice address

2500 - 30TH Street
Suite 302
Boulder, CO 80301-1239

Phone

(303) 541-0660

Fax

(303) 449-1703

NPI assigned

Aug 23, 2013

Organization subpart

No

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

Authorized official

Name

Dr. Geoffrey B. Heron, M.D.

Title

President

Phone

(303) 541-0660

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1154755379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2500 - 30TH STREET",
            "address_2": "SUITE 302",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011239",
            "telephone_number": "303-541-0660",
            "fax_number": "303-449-1703"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 - 30TH STREET",
            "address_2": "SUITE 302",
            "city": "BOULDER",
            "state": "CO",
            "postal_code": "803011239",
            "telephone_number": "303-541-0660",
            "fax_number": "303-449-1703"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEOFFREY B HERON, M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "HERON",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "B.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "303-541-0660",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "CO",
            "license": "17723",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Psychiatry Physician in Boulder, CO
• Providers in Boulder, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.