NPIMap

Organization Active NPI

Heritage Health Services LLC

  • Rheumatology Physician
  • Oklahoma City, OK
National Provider Identifier
1275286080
Registry record updated Nov 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rheumatology PhysicianTaxonomy code 207RR0500X
Legal business name
HERITAGE HEALTH SERVICES LLC
Practice address
7336 N Classen Blvd Ste 100
Oklahoma City, OK 73116-7114
Phone
(405) 608-8060
Fax
(405) 608-8070
NPI assigned
Feb 1, 2022
Last updated
Nov 19, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 19, 2024

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

Authorized official

Name
Aaron Fleck
Title
Ceo
Phone
(405) 608-8060

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Rheumatology Physician 207RR0500X Primary
Non-Pharmacy Dispensing Site 332900000X

Addresses

Primary practice location

7336 N Classen Blvd Ste 100
Oklahoma City, OK 73116-7114

Mailing address

7336 N Classen Blvd Ste 201
Oklahoma City, OK 73116-7114
Phone (405) 608-8060

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20220516000527 OK Part B Supplier - Clinic/Group Practice 7214314111 Receives reassigned benefits from 18 practitioners
Practice locations: Oklahoma City, OK

National Provider Directory

National Provider Directory

Locations

7336 N Classen Blvd
#200
Oklahoma City, OK 73116
Phone (405) 285-8823

7336 N Classen Blvd
Ste 200
Oklahoma City, OK 73116
Phone (405) 285-8823

7336 N Classen Blvd
Ste 201
Oklahoma City, OK 73116

Practitioners & affiliated clinicians

Practitioners 18

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1643673600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1275286080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7336 N CLASSEN BLVD STE 201",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167114",
            "telephone_number": "405-608-8060",
            "fax_number": "405-608-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7336 N CLASSEN BLVD STE 100",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167114",
            "telephone_number": "405-608-8060",
            "fax_number": "405-608-8070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-01",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "FLECK",
        "authorized_official_first_name": "AARON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "405-608-8060"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.