Active NPI
Henry M Heller, MD, PC
Doing business as dba Four Corners Oncology Hematology
- Specialist
- Durango, CO
National Provider Identifier
1235311374
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 22830
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CG3935 | Other | CO | RAILROAD MEDICARE |
Other names 1
- dba Four Corners Oncology Hematology
National Provider Directory
National Provider DirectoryLocations
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.
-
- Allergy & Immunology (Internal Medicine) Physician
- Durango, CO
- NPI 1558437681
-
- Hematology & Oncology Physician
- Seattle, WA
- NPI 1275640179
-
- Hematology & Oncology Physician
- Grapevine, TX
- NPI 1386603744
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.