Active NPI
Jacob S. Heydemann M.D. PA
- Orthopaedic Surgery Physician
- El Paso, TX
National Provider Identifier
1497715718
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- F4077
- Legal business name
- JACOB S. HEYDEMANN M.D. PA
- Practice address
- 1300 Murchison Dr
Ste 310
El Paso, TX 79902-4842 - Phone
- (915) 838-3888
- Fax
- (915) 838-3889
- NPI assigned
- Mar 23, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Jacob S Heydemann, M.D.
- Title
- President
- Phone
- (915) 838-3888
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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | F4077 | TX | Primary |
| Pediatrics Physician | 208000000X | F4077 | TX |
Addresses
Primary practice location
1300 Murchison Dr
Ste 310
El Paso, TX 79902-4842
Mailing address
1300 Murchison Dr
Ste 310
El Paso, TX 79902-4842
Phone (915) 838-3888
National Provider Directory
National Provider Directory- Tax ID family
- Jacob S Heydemann M D P a
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Orthopaedic Surgery Physician
- El Paso, TX
- NPI 1588624589
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- El Paso, TX
- NPI 1548263635
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1143072000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1197331200000",
"number": "1497715718",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 MURCHISON DR",
"address_2": "STE 310",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024842",
"telephone_number": "915-838-3888",
"fax_number": "915-838-3889"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 MURCHISON DR",
"address_2": "STE 310",
"city": "EL PASO",
"state": "TX",
"postal_code": "799024842",
"telephone_number": "915-838-3888",
"fax_number": "915-838-3889"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JACOB S. HEYDEMANN M.D. PA",
"organizational_subpart": "NO",
"enumeration_date": "2006-03-23",
"last_updated": "2007-12-11",
"status": "A",
"authorized_official_last_name": "HEYDEMANN",
"authorized_official_first_name": "JACOB",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "915-838-3888",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": "TX",
"license": "F4077",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": "TX",
"license": "F4077",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in El Paso, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.