Active NPI
Michael Heller, MD
- Pediatrics Physician
- Franklin, NC
National Provider Identifier
1285701466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 201101510
- Practice address
- 55 Medical Park Dr
Suite 114
Franklin, NC 28734-2651 - Phone
- (828) 524-7337
- Fax
- (828) 369-4241
- NPI assigned
- Nov 30, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 201101510 | NC | Primary |
Addresses
Primary practice location
55 Medical Park Dr
Suite 114
Franklin, NC 28734-2651
Mailing address
PO Box 647
Hope Mills, NC 28348-0647
Phone (910) 483-7337
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5918837 | Medicaid | NC | |
| 1930 | Other | NC | HEALTHNET FEDERAL SERVICES / TRICARE |
| 238027 | Other | NC | MEDCOST LLC |
| 2720287 | Other | NC | UNITED HEALTHCARE |
| 1653R | Other | NC | BCBS OF NC |
| 7696903 | Other | NC | AETNA |
Other names 1
- Israel Meyer Heller
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 201101510 | NC | MD | Pediatrics Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164844800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384905600000",
"number": "1285701466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 647",
"city": "HOPE MILLS",
"state": "NC",
"postal_code": "283480647",
"telephone_number": "910-483-7337",
"fax_number": "910-483-0648"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 MEDICAL PARK DR",
"address_2": "SUITE 114",
"city": "FRANKLIN",
"state": "NC",
"postal_code": "287342651",
"telephone_number": "828-524-7337",
"fax_number": "828-369-4241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HELLER",
"first_name": "MICHAEL",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-30",
"last_updated": "2013-11-20",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "201101510",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5918837",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHNET FEDERAL SERVICES / TRICARE",
"identifier": "1930",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST LLC",
"identifier": "238027",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "2720287",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF NC",
"identifier": "1653R",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "7696903",
"state": "NC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ISRAEL",
"last_name": "HELLER",
"middle_name": "MEYER",
"credential": "MD",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Franklin, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 20, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.