Organization Active NPI

Henry M Heller, MD, PC

Doing business as dba Four Corners Oncology Hematology

  • Specialist
  • Durango, CO
National Provider Identifier
1235311374
Registry record updated Mar 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
22830 Issued in CO
Legal business name
HENRY M HELLER, MD, PC
Doing business as
dba Four Corners Oncology Hematology
Practice address
1800 E 3Rd Ave
Suite 104
Durango, CO 81301-5016
Phone
(970) 247-3993
Fax
(970) 247-0902
NPI assigned
Nov 30, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2008

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

Authorized official

Name
Dr. Henry M Heller, M.D.
Title
President
Phone
(970) 247-3993

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 22830 CO Primary

Addresses

Primary practice location

1800 E 3Rd Ave
Suite 104
Durango, CO 81301-5016

Mailing address

1800 E 3Rd Ave
Suite 104
Durango, CO 81301-5016
Phone (970) 247-3993

Other identifiers 1

IdentifierTypeStateIssuer
CG3935OtherCORAILROAD MEDICARE

Other names 1

  • dba Four Corners Oncology Hematology Doing business as

National Provider Directory

National Provider Directory

Locations

1021 N Mildred Rd
Ste C
Cortez, CO 81321
Phone (970) 564-9098

1800 E 3rd Ave
Ste 104
Durango, CO 81301
Phone (970) 247-0777

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1196380800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205280000000",
    "number": "1235311374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 E 3RD AVE",
            "address_2": "SUITE 104",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015016",
            "telephone_number": "970-247-3993",
            "fax_number": "970-247-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 E 3RD AVE",
            "address_2": "SUITE 104",
            "city": "DURANGO",
            "state": "CO",
            "postal_code": "813015016",
            "telephone_number": "970-247-3993",
            "fax_number": "970-247-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HENRY M HELLER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-30",
        "last_updated": "2008-03-12",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "HENRY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "970-247-3993",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "CO",
            "license": "22830",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "CG3935",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "dba Four Corners Oncology Hematology",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Durango, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2008; 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.