Kenneth C Heist D.O.,PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

Legal business name

KENNETH C HEIST D.O.,PC

Practice address

2301 S 13TH St
Phila, PA 19148-3505

Phone

(215) 271-6900

NPI assigned

Aug 13, 2007

Organization subpart

No

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

Authorized official

Name

Marge Rogers

Title

Office Manager

Phone

(215) 271-6900

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Practitioners 1

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

• Kenneth C Heist, D.O.

  • Ophthalmology Physician
  • Philadelphia, PA
  • NPI 1730269481
  Medicare reassignment

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

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1353456000000",
    "number": "1518159656",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2301 S 13TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191483505",
            "telephone_number": "215-271-6900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2301 S 13TH ST",
            "city": "PHILA",
            "state": "PA",
            "postal_code": "191483505",
            "telephone_number": "215-271-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH C HEIST D.O.,PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2012-11-21",
        "status": "A",
        "authorized_official_last_name": "ROGERS",
        "authorized_official_first_name": "MARGE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "215-271-6900"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Michael Keith Keene II, LICENSED ORTHOTIST,
• Maryann Kelly, PA
• Tyrone Romance Kemp Sr.
• Lowell Theodore Kennedy, MAJOR
• Quadeerah Kennedy, RN
• Levis Wayne Kenney, LPC
• Michelle Nichole Keyes, M.A.
• Youssef M Khaldi, B.A.
• Dennis J Khoury, M.D.
• John Y Kim

• Ophthalmology Physician in Phila, PA
• Providers in Phila, PA by specialty
• Ophthalmology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.