Douglas Heller, MD, PC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

1822401 Issued in NY

Legal business name

DOUGLAS HELLER, MD, PC

Practice address

63 Hurley Ave
Kingston, NY 12401-2832

Phone

(845) 331-3881

NPI assigned

Feb 28, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Douglas Heller, M.D.

Title

President

Phone

(845) 331-3881

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1204156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205452800000",
    "number": "1275702821",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "63 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012832",
            "telephone_number": "845-331-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "63 HURLEY AVE",
            "city": "KINGSTON",
            "state": "NY",
            "postal_code": "124012832",
            "telephone_number": "845-331-3881"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DOUGLAS HELLER, MD, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-28",
        "last_updated": "2008-03-14",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "845-331-3881",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NY",
            "license": "1822401",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "DA4453",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ashley Donnelly
• Paul B Donovan, MD
• Bethany Doolittle
• Zygmunt Dorozynski, DDS
• Judith Dougan, DC
• Elliot Taylor Douglas, LMHC, BCBA
• Barbara Jeanne Downey
• Audrey Downing, LMT
• Melissa Downing
• Dr Cutugno Oncology and Hematology Specialist PLLC

• Internal Medicine Physician in Kingston, NY
• Providers in Kingston, NY by specialty
• Internal Medicine Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 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.