Individual provider Active NPI

Paul C Hessler III, MD

  • General Practice Physician
  • Gordon, NE
National Provider Identifier
1285647214
Registry record updated Sep 22, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
5355 Issued in RI
Practice address
309 Maple Ave
Gordon, NE 69343-0174
Phone
(401) 578-6687
NPI assigned
Aug 14, 2006
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
41053MAMDPulmonary Disease Physician
MD5355RIMDNuclear Radiology Physician
5355RIMDGeneral Practice Physician

Specialties & licenses 2

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Nuclear Radiology Physician 2085N0904X MD5355 RI
General Practice Physician 208D00000X 5355 RI Primary

Addresses

NPPES NPI Registry

Primary practice location

309 Maple Ave
Gordon, NE 69343-0174

Mailing address

PO Box 174
Gordon, NE 69343-0174
Phone (401) 578-6687

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 22, 2015.

{
    "created_epoch": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1442880000000",
    "number": "1285647214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 174",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693430174",
            "telephone_number": "401-578-6687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 MAPLE AVE",
            "city": "GORDON",
            "state": "NE",
            "postal_code": "693430174",
            "telephone_number": "401-578-6687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESSLER",
        "first_name": "PAUL",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-14",
        "last_updated": "2015-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085N0904X",
            "taxonomy_group": "",
            "desc": "Radiology, Nuclear Radiology",
            "state": "RI",
            "license": "MD5355",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "RI",
            "license": "5355",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gordon, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2015; 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.