Active NPI
Kenneth A Heisler, MD
- Surgery Physician
- Falmouth, MA
National Provider Identifier
1427100460
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 45802
- Practice address
- 78 Main Street
Falmouth, MA 02540 - Phone
- (508) 548-8317
- Fax
- (508) 548-7407
- NPI assigned
- Jan 18, 2007
- 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 |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 45802 | MA | Primary |
Addresses
Primary practice location
78 Main Street
Falmouth, MA 02540
Mailing address
78 Main Street
Falmouth, MA 02540
Phone (508) 548-8317
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0103004 | Medicaid | MA | |
| L07176 | Other | MA | BC/BS |
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 |
|---|---|---|---|
| 45802 | MA | MD | Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1464825600000",
"number": "1427100460",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "78 MAIN STREET",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "02540",
"telephone_number": "508-548-8317",
"fax_number": "508-548-7407"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "78 MAIN STREET",
"city": "FALMOUTH",
"state": "MA",
"postal_code": "02540",
"telephone_number": "508-548-8317",
"fax_number": "508-548-7407"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEISLER",
"first_name": "KENNETH",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-18",
"last_updated": "2016-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MA",
"license": "45802",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0103004",
"state": "MA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "L07176",
"state": "MA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Falmouth, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.