Organization Active NPI

Herbert H Heym M.D. P.a.

  • Internal Medicine Physician
  • Wilmington, DE
National Provider Identifier
1487680997
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
C10000563 Issued in DE
Legal business name
HERBERT H HEYM M.D. P.A.
Practice address
1711 Woodlawn Ave
Wilmington, DE 19806-2455
Phone
(302) 654-9511
Fax
(302) 656-8993
NPI assigned
Jun 25, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Herbert H Heym, M.D.NPI 1871619551
Title
President
Phone
(302) 654-9511

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X C10000563 DE Primary

Addresses

Primary practice location

1711 Woodlawn Ave
Wilmington, DE 19806-2455

Mailing address

1711 Woodlawn Ave
Wilmington, DE 19806-2455
Phone (302) 654-9511

Other identifiers 1

IdentifierTypeStateIssuer
0000074202MedicaidDE

National Provider Directory

National Provider Directory

Locations

1711 Woodlawn Ave
Wilmington, DE 19806
Phone (302) 654-9511

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151193600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1487680997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1711 WOODLAWN AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062455",
            "telephone_number": "302-654-9511",
            "fax_number": "302-656-8993"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1711 WOODLAWN AVE",
            "city": "WILMINGTON",
            "state": "DE",
            "postal_code": "198062455",
            "telephone_number": "302-654-9511",
            "fax_number": "302-656-8993"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERBERT H HEYM M.D. P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-25",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEYM",
        "authorized_official_first_name": "HERBERT",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "302-654-9511",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C10000563",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0000074202",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, DE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.