James Henry Heriot, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

ME0071966 Issued in FL

Practice address

201 Independence Drive
14TH Medical Group/Sgoq
Columbus AFB, MS 39710

Phone

(662) 434-2216

Fax

(662) 434-2128

NPI assigned

Sep 19, 2005

Last updated

Nov 13, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384300800000",
    "number": "1467447201",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 INDEPENDENCE DRIVE",
            "address_2": "14TH MEDICAL GROUP/SGOQ",
            "city": "COLUMBUS AFB",
            "state": "MS",
            "postal_code": "39710",
            "telephone_number": "662-434-2216",
            "fax_number": "662-434-2128"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 INDEPENDENCE DRIVE",
            "address_2": "14TH MEDICAL GROUP/SGOQ",
            "city": "COLUMBUS AFB",
            "state": "MS",
            "postal_code": "39710",
            "telephone_number": "662-434-2216",
            "fax_number": "662-434-2128"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERIOT",
        "first_name": "JAMES",
        "middle_name": "HENRY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-19",
        "last_updated": "2013-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "FL",
            "license": "ME0071966",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jane Denton, PNP
• Cynthia Duffey, LCSW
• Jennifer Marie Hudson, LICSW
• Kirk Tracy Moss, M.D.
• Paul H Nelson, MD
• Matthew Ward Ostler, DPT
• Stacie Lynn Penkova, PHARMD

• Internal Medicine Physician in Columbus AFB, MS
• Providers in Columbus AFB, MS by specialty
• Internal Medicine Physician in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.