Individual provider Active NPI

James Russell Heap, M.D.

  • Occupational Medicine Physician
  • New Bremen, OH
National Provider Identifier
1427322320
Registry record updated Feb 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
35.066738 Issued in OH
Practice address
44 S Washington St
New Bremen, OH 45869-1247
Phone
(419) 629-2311
Fax
(419) 629-9232
NPI assigned
Feb 24, 2012
Last updated
Feb 24, 2012By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 24, 2012

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Medicine Physician 2083X0100X 35.066738 OH Primary
Occupational Medicine Physician 2083X0100X 186116 NY
Occupational Medicine Physician 2083X0100X G61540 CA
Occupational Medicine Physician 2083X0100X G1672 TX
Occupational Medicine Physician 2083X0100X 11418 AZ

Addresses

Primary practice location

44 S Washington St
New Bremen, OH 45869-1247

Mailing address

44 S Washington St
New Bremen, OH 45869-1247
Phone (419) 629-2311

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

LicenseStateTypeSpecialty
G61540CAMDOccupational Medicine Physician
186116NYMDOccupational Medicine Physician
35.066738OHMDOccupational Medicine Physician
G1672TXMDOccupational Medicine Physician
11418AZMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1330041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330041600000",
    "number": "1427322320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "44 S WASHINGTON ST",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458691247",
            "telephone_number": "419-629-2311",
            "fax_number": "419-629-9232"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "44 S WASHINGTON ST",
            "city": "NEW BREMEN",
            "state": "OH",
            "postal_code": "458691247",
            "telephone_number": "419-629-2311",
            "fax_number": "419-629-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAP",
        "first_name": "JAMES",
        "middle_name": "RUSSELL",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-02-24",
        "last_updated": "2012-02-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "OH",
            "license": "35.066738",
            "primary": true
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "186116",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "CA",
            "license": "G61540",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "TX",
            "license": "G1672",
            "primary": false
        },
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "AZ",
            "license": "11418",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bremen, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2012; 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.