Individual provider Active NPI

Thomas E Heffernan, MD

  • Diagnostic Radiology Physician
  • Greensboro, NC
National Provider Identifier
1245420884
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
35093283 Issued in OH
Practice address
1331 N Elm St Ste 200
Greensboro, NC 27401-6304
Phone
(888) 592-6045
Fax
(336) 482-2177
NPI assigned
Jul 30, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 026394 LA
Diagnostic Radiology Physician 2085R0202X 35093283 OH Primary

Addresses

Primary practice location

1331 N Elm St Ste 200
Greensboro, NC 27401-6304

Mailing address

1331 N Elm St
Suite 200
Greensboro, NC 27401-6302
Phone (888) 592-6045

Other identifiers 1

IdentifierTypeStateIssuer
1090930MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090623000743 OH Practitioner - Diagnostic Radiology 7214002930 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Diagnostic Radiology
Education
Louisiana State University School of Medicine in Shreveport, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Radiology CorpGroup PAC ID 6507754983, 290 clinicians

Practice addresses (Care Compare)

100 Medical Ctr Dr
Springfield, OH 45504-2687
Phone (937) 523-1000

1020 Trump Rd NW
Carrollton, OH 44615-8422
Phone (330) 627-0091

111 S Grant Ave
Ohiohealth Grant Medical Center
Columbus, OH 43215-4701
Phone (614) 228-7231

12029 Sheraton LN
Cincinnati, OH 45246-1611
Phone (888) 271-3826

12037 Sheraton LN
Springdale, OH 45246-1611
Phone (513) 671-3320

1275 N High St
Hillsboro, OH 45133-8273
Phone (888) 522-4514

3000 Hospital Dr
Batavia, OH 45103-1921
Phone (513) 732-8200

3000 Mack Rd
Fairfield, OH 45014-5335
Phone (513) 870-7000

3300 Mercy Health Blvd
Cincinnati, OH 45211-1103
Phone (513) 215-1650

401 N Ewing St
Fairfield Medical Center
Lancaster, OH 43130-3372
Phone (614) 228-7231

601 Ivy Gtwy
Cincinnati, OH 45245-1898
Phone (513) 947-1130

8618 Stoney Bridge Dr
Cincinnati, OH 45244-2171
Phone (614) 221-3303

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
35093283OHMDDiagnostic Radiology Physician
026394LAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Radiology Corp Diagnostic Radiology CurrentSince Sep 1, 2015 Accepting new patients
Radiology Associates of Canton, Inc Diagnostic Radiology CurrentSince May 26, 2025 Accepting new patients
Radiology Associates of Canton, Inc. Diagnostic Radiology CurrentSince May 26, 2025 Accepting new patients

Locations (25 of 30)

200 E State St
Alliance, OH 44601
Phone (330) 596-6000

3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209

625 W Waterloo St
Canal Winchester, OH 43110
Phone (614) 355-3400

2821 Woodlawn Ave NW
Canton, OH 44708
Phone (330) 479-4800

2600 6th St SW
Canton, OH 44710
Phone (330) 363-2180

1020 Trump Rd NW
Carrollton, OH 44615
Phone (330) 627-0091

7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034

3333 Burnet Ave
Cincinnati, OH 45229
Phone (513) 636-4200

3131 Queen City Ave
Cincinnati, OH 45238
Phone (513) 557-3209

3300 Mercy Health Blvd
Cincinnati, OH 45211
Phone (513) 215-1114

3301 Mercy Health Blvd
Ste 100
Cincinnati, OH 45211
Phone (513) 751-2145

7755 5 Mile Rd
Cincinnati, OH 45230
Phone (513) 233-2230

107 Royal Birkdale Dr
Ste A
Columbiana, OH 44408
Phone (330) 482-9350

471 E Broad St
Ste 1400
Columbus, OH 43215
Phone (614) 221-9241

410 W 10th Ave
Columbus, OH 43210
Phone (614) 293-5905

111 S Grant Ave
Columbus, OH 43215
Phone (614) 461-3232

471 E Broad St
Columbus, OH 43215

1400 E 2nd St
Defiance, OH 43512
Phone (419) 784-1414

603 Monroe St
Dover, OH 44622
Phone (330) 364-8889

1275 N High St
Hillsboro, OH 45133
Phone (937) 393-5503

6770 Cincinnati Dayton Rd
Ste 107
Liberty Township, OH 45044
Phone (513) 981-4340

2021 Wales Ave NW
Massillon, OH 44646
Phone (330) 363-2180

201 Old Bank Rd
Milford, OH 45150
Phone (513) 248-0100

154 Health Partners Cir
Mount Orab, OH 45154
Phone (513) 981-4700

6100 Whipple Ave NW
North Canton, OH 44720
Phone (330) 244-8778

Interoperability endpoints

  • Direct secure messaging: theffernan18322@direct.bsmhealth.org

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1185753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1245420884",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST",
            "address_2": "SUITE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016302",
            "telephone_number": "888-592-6045",
            "fax_number": "336-482-2177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1331 N ELM ST STE 200",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274016304",
            "telephone_number": "888-592-6045",
            "fax_number": "336-482-2177"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEFFERNAN",
        "first_name": "THOMAS",
        "middle_name": "E",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-30",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "LA",
            "license": "026394",
            "primary": false
        },
        {
            "code": "2085R0202X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Radiology",
            "state": "OH",
            "license": "35093283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1090930",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.