Active NPI
Norman A Hetzler Jr., MD
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- Portsmouth, VA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
- License
- 0101285915
- Practice address
- 3640 High St Ste 1E
Portsmouth, VA 23707-3213 - Phone
- (757) 398-2222
- NPI assigned
- Jul 31, 2006
- 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 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | TMP02476 | WV | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 46710 | AL | |
| Surgery Physician | 208600000X | MD03596SE | PA | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 0101285915 | VA | Primary |
Addresses
Primary practice location
3640 High St Ste 1E
Portsmouth, VA 23707-3213
Mailing address
PO Box 88
5 E Alvon Road Suite 7
White Sulphur Springs, WV 24986-2373
Phone (304) 536-5030
Other practice location 1
2828 1st Ave
Suite 200
Huntington, WV 25702-1236
Phone (304) 399-7530
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0019049070001 | Medicaid | PA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, IL, IA, WA, VA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 5
Care Compare profile
Medicare Care Compare- Specialty
- Thoracic Surgery
- Education
- Drexel University College of Medicine, 1982
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
150 Kingsley LN
Norfolk, VA 23505-4602
Phone (757) 398-2673
3636 High St
Portsmouth, VA 23707-3236
Phone (757) 398-2222
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Coronary artery bypass graft (CABG) | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD03596SE | PA | MD | Surgery Physician |
| 46710 | AL | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
| TMP02476 | WV | MD | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Proctor Health Systems | Current | Accepting new patients | |
| Providence Health & Services Washington | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Proctor Health Systems | Current | Accepting new patients | |
| Baptist Health Centers LLC | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Thoracic Surgery (Cardiothoracic Vascular Surgery) | Current | Accepting new patients |
| Baptist Health Centers, LLC | Current | Accepting new patients | |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Bon Secours Medical Group Hampton Roads Specialty Care LLC | Surgery | Current | Accepting new patients |
| Methodist Medical Center of Illinois | Current | Accepting new patients | |
| Cardiology Consultants | Past | Accepting new patients | |
| St. Mary's Medical Management Highlawn Lab | Past | Accepting new patients | |
| Valley Cardiology LLP | Past | Accepting new patients |
Locations
1130 22nd St S
Ste 1000
Birmingham, AL 35205
Phone (205) 518-8849
833 Princeton Ave SW
Ste 200G
Birmingham, AL 35211
Phone (205) 264-2816
2018 Brookwood Medical Ctr Dr
Ste 215
Birmingham, AL 35209
Phone (205) 877-2627
2018 Medical Center Dr
Homewood, AL 35209
Phone (205) 329-7805
1506 W Garfield Ave
Bartonville, IL 61607
Phone (309) 697-2416
221 NE Glen Oak Ave
Peoria, IL 61636
Phone (309) 672-4281
815 Main St
Ste A
Peoria, IL 61602
Phone (309) 672-4986
815 Main St
Ste A1
Peoria, IL 61602
120 NE Glen Oak Ave
Peoria, IL 61603
Phone (309) 672-3158
5401 N Knoxville Ave
Ste 400
Peoria, IL 61614
Phone (309) 691-6610
112 NE Crescent Ave
Peoria, IL 61606
Phone (309) 680-2402
4600 McAuley Pl
Ste 600
Blue Ash, OH 45242
Phone (513) 752-8000
150 Kingsley Ln
Norfolk, VA 23505
Phone (757) 464-6944
3640 High St
Ste 1E
Portsmouth, VA 23707
Phone (757) 398-2200
1018 Capitol Way S
Ste 300
Olympia, WA 98501
Phone (360) 486-6508
525 Lilly Rd NE
Ste 200
Olympia, WA 98506
Phone (360) 493-4510
525 Lilly Rd NE
Olympia, WA 98506
Phone (360) 413-8550
Interoperability endpoints
- nhetzler2952612@direct.bsmhealth.org
Organizations & group practices 14
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Cardiovascular Disease Physician
- Richmond, VA
- NPI 1629637475
Surgery
-
dba Baptist Health Medical Group
- Health Service Clinic/Center
- Winfield, AL
- NPI 1265496236
-
- Rehabilitation Hospital Unit
- Peoria, IL
- NPI 1982656575
-
- Family Medicine Physician
- Peoria, IL
- NPI 1134173917
-
dba Providence Medical Group SouthWest Washington
- Family Medicine Physician
- Olympia, WA
- NPI 1174744304
-
dba Southampton Orthopaedic and Sports Medicine Center
- Durable Medical Equipment & Medical Supplies
- Franklin, VA
- NPI 1205451028
-
- General Acute Care Hospital
- Peoria, IL
- NPI 1164474755
-
dba Methodist Medical Group
- Family Medicine Physician
- Peoria, IL
- NPI 1184670663
Thoracic Surgery (Cardiothoracic Vascular Surgery)
-
dba Carle Health Princeville
- Rural Health Clinic/Center
- Princeville, IL
- NPI 1356057301
-
dba Proctor Medical Group Surgery - C K Song MD
- Ambulatory Surgical Clinic/Center
- Peoria, IL
- NPI 1720223837
-
dba Heart & Vascular Institute of Florida - South Pinellas
- Specialist
- St Petersburg, FL
- NPI 1811940802
Hospital & facility affiliations 9
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Chenault-Ostroff Urological Assoicates
- Urology Physician
- Chesapeake, VA
- NPI 1053638890
Hospital
-
dba Eagle Harbor Medical Associates
- Family Medicine Physician
- Carrollton, VA
- NPI 1316193741
Hospital
-
dba Bon Secours Surgical Specialists
- Surgery Physician
- Suffolk, VA
- NPI 1417127382
Hospital
-
dba Internist Western Branch
- Internal Medicine Physician
- Chesapeake, VA
- NPI 1508893892
Hospital
-
dba Bon Secours Neuroscience Center for Pain Management
- Pain Medicine Physician
- Portsmouth, VA
- NPI 1871802413
Hospital
-
dba Bon Secours Neuroscience Center
- Neurology Physician
- Portsmouth, VA
- NPI 1427229749
Hospital
-
dba Internists of Churchland
- Internal Medicine Physician
- Suffolk, VA
- NPI 1437452927
Hospital
-
dba Bon Secours Maryview Medical Center
- General Acute Care Hospital
- Portsmouth, VA
- NPI 1750399192
-
dba Harbour View Family Practice
- Family Medicine Physician
- Suffolk, VA
- NPI 1952338246
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154304000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1755734400000",
"number": "1487660775",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88",
"address_2": "5 E ALVON ROAD SUITE 7",
"city": "WHITE SULPHUR SPRINGS",
"state": "WV",
"postal_code": "249862373",
"telephone_number": "304-536-5030",
"fax_number": "304-536-5031"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3640 HIGH ST STE 1E",
"city": "PORTSMOUTH",
"state": "VA",
"postal_code": "237073213",
"telephone_number": "757-398-2222"
}
],
"practiceLocations": [
{
"address_1": "2828 1st Ave",
"address_2": "Suite 200",
"address_purpose": "LOCATION",
"city": "Huntington",
"state": "WV",
"postal_code": "257021236",
"country_code": "US",
"telephone_number": "304-399-7530",
"fax_number": "304-399-7532",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HETZLER",
"first_name": "NORMAN",
"middle_name": "A",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-31",
"last_updated": "2025-08-21",
"certification_date": "2025-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "WV",
"license": "TMP02476",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "AL",
"license": "46710",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "PA",
"license": "MD03596SE",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "VA",
"license": "0101285915",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0019049070001",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Portsmouth, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.