Organization Active NPI

Arlington Association of Neurological Surgeons, PA

  • Specialist
  • Arlington, TX
National Provider Identifier
1316068174
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
Legal business name
ARLINGTON ASSOCIATION OF NEUROLOGICAL SURGEONS, PA
Practice address
811 W Interstate 20 Unit G10
Arlington, TX 76017-5871
Phone
(817) 274-4593
Fax
(817) 274-4098
NPI assigned
Apr 2, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Dr. Jeffrey W. Heitkamp, MDNPI 1821087636
Title
President
Phone
(817) 274-4593

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X TX Primary

Addresses

Primary practice location

811 W Interstate 20 Unit G10
Arlington, TX 76017-5871

Mailing address

PO Box 152679
Arlington, TX 76015-8679
Phone (817) 274-4593

Other identifiers 4

IdentifierTypeStateIssuer
314595OtherTXCIGNA
0610290OtherTXAETNA
00FM69OtherTXMEDICARE
80A470OtherTXBCBS OF TX

National Provider Directory

National Provider Directory

Locations

1001 N Waldrop Dr
Ste 801
Arlington, TX 76012
Phone (817) 274-4593

811 W Interstate 20
Ste 134
Arlington, TX 76017
Phone (817) 460-2090

811 W Interstate 20
Unit G10
Arlington, TX 76017
Phone (817) 274-4593

Practitioners & affiliated clinicians

Practitioners 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1175472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1316068174",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 152679",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760158679",
            "telephone_number": "817-274-4593",
            "fax_number": "817-274-4098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 W INTERSTATE 20 UNIT G10",
            "city": "ARLINGTON",
            "state": "TX",
            "postal_code": "760175871",
            "telephone_number": "817-274-4593",
            "fax_number": "817-274-4098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARLINGTON ASSOCIATION OF NEUROLOGICAL SURGEONS, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-02",
        "last_updated": "2022-07-21",
        "certification_date": "2021-01-20",
        "status": "A",
        "authorized_official_last_name": "HEITKAMP",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "817-274-4593",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "TX",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "314595",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0610290",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "00FM69",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TX",
            "identifier": "80A470",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arlington, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.