Active NPI
Paul C Hessler III, MD
- General Practice Physician
- Gordon, NE
National Provider Identifier
1285647214
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 5355
- Practice address
- 309 Maple Ave
Gordon, NE 69343-0174 - Phone
- (401) 578-6687
- NPI assigned
- Aug 14, 2006
- Last updated
- Sep 22, 2015
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nuclear Radiology Physician | 2085N0904X | MD5355 | RI | |
| General Practice Physician | 208D00000X | 5355 | RI | Primary |
Addresses
Primary practice location
309 Maple Ave
Gordon, NE 69343-0174
Mailing address
PO Box 174
Gordon, NE 69343-0174
Phone (401) 578-6687
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD5355 | RI | MD | Nuclear Radiology Physician |
| 5355 | RI | MD | General Practice Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"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.