Individual provider Active NPI

Heinrich Gustav Schettler, M.D.

  • Obstetrics & Gynecology Physician
  • Humble, TX
National Provider Identifier
1366406050
Registry record updated Aug 1, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
E4662 Issued in TX
Practice address
18955 N Memorial Dr
Suite 350
Humble, TX 77338-4271
Phone
(281) 446-4644
Fax
(281) 446-0687
NPI assigned
Apr 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 1, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X E4662 TX Primary

Addresses

Primary practice location

18955 N Memorial Dr
Suite 350
Humble, TX 77338-4271

Mailing address

18955 N Memorial Dr
Suite 350
Humble, TX 77338-4271
Phone (281) 446-4644

Other identifiers 3

IdentifierTypeStateIssuer
10017980OtherTXAMERIGROUP
099240601MedicaidTX
683022OtherTXAETNA

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, Physician Assistant

NPI Registry JSON

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

{
    "created_epoch": "1144800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1312156800000",
    "number": "1366406050",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR",
            "address_2": "SUITE 350",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384271",
            "telephone_number": "281-446-4644",
            "fax_number": "281-446-0687"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18955 N MEMORIAL DR",
            "address_2": "SUITE 350",
            "city": "HUMBLE",
            "state": "TX",
            "postal_code": "773384271",
            "telephone_number": "281-446-4644",
            "fax_number": "281-446-0687"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHETTLER",
        "first_name": "HEINRICH",
        "middle_name": "GUSTAV",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-12",
        "last_updated": "2011-08-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "TX",
            "license": "E4662",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10017980",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "099240601",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "683022",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Humble, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 1, 2011; 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.