Individual provider Active NPI

Heather B. Krantz, MD

  • Obstetrics & Gynecology Physician
  • Roswell, GA
National Provider Identifier
1184674327
Registry record updated May 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
MD27248 Issued in OR
Practice address
900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667
Phone
(434) 248-7508
NPI assigned
May 10, 2006
Last updated
May 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 036091586 IL
Obstetrics & Gynecology Physician 207V00000X MD27248 OR Primary

Addresses

Primary practice location

900 Old Roswell Lakes Pkwy Ste 310
Roswell, GA 30076-8667

Mailing address

2330 NE Division St
7
Bend, OR 97701-3530
Phone (541) 317-8896

Other practice location 1

2330 NE Division St
7
Bend, OR 97701-3530
Phone (541) 317-8896

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 Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Planned Parenthood of the Columbia/Willamette, Inc. Past Accepting new patients
Chrysalis Health of Illinois P.C. Past Accepting new patients
Chrysalis Health of Florida P.a. Past Accepting new patients
Mymenopauserx Medical Group Past Accepting new patients
Midwest Center for Women's Health Care, LTD. Obstetrics & Gynecology PastSince Feb 1, 2005 Accepting new patients

Organizations & group practices 5

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": "1147219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716336000000",
    "number": "1184674327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2330 NE DIVISION ST",
            "address_2": "7",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977013530",
            "telephone_number": "541-317-8896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD ROSWELL LAKES PKWY STE 310",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300768667",
            "telephone_number": "434-248-7508"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2330 NE Division St",
            "address_2": "7",
            "address_purpose": "LOCATION",
            "city": "Bend",
            "state": "OR",
            "postal_code": "977013530",
            "country_code": "US",
            "telephone_number": "541-317-8896",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KRANTZ",
        "first_name": "HEATHER",
        "middle_name": "B.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-10",
        "last_updated": "2024-05-22",
        "certification_date": "2024-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": "036091586",
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "OR",
            "license": "MD27248",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2024; 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.