Jonathan K Hetzel, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD-018132-E Issued in PA

Legal business name

JONATHAN K HETZEL, MD

Practice address

80 W Welsh Pool Rd
Suite 200 South
Exton, PA 19341-1233

Phone

(610) 363-8260

Fax

(610) 363-8002

NPI assigned

Dec 4, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Jonathan Hetzel, MD

Title

Physician

Phone

(610) 363-8260

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1165190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194893313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 W WELSH POOL RD",
            "address_2": "SUITE 200 SOUTH",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411233",
            "telephone_number": "610-363-8260",
            "fax_number": "610-363-8002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 W WELSH POOL RD",
            "address_2": "SUITE 200 SOUTH",
            "city": "EXTON",
            "state": "PA",
            "postal_code": "193411233",
            "telephone_number": "610-363-8260",
            "fax_number": "610-363-8002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONATHAN K HETZEL, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-04",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HETZEL",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "610-363-8260",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-018132-E",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Exton, PA
• Providers in Exton, PA by specialty
• Family 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.