John Lawrence Hegstrom, MD

Primary specialty

Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X

License

23966 Issued in CO

Practice address

2222 N Nevada Avenue
Colorado Springs, CO 80907

Phone

(719) 776-5000

NPI assigned

Apr 18, 2006

Last updated

Jul 8, 2007By 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 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1538124110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744127",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "753740968",
            "telephone_number": "719-776-5816",
            "fax_number": "719-776-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2222 N NEVADA AVENUE",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "80907",
            "telephone_number": "719-776-5000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEGSTROM",
        "first_name": "JOHN",
        "middle_name": "LAWRENCE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "CO",
            "license": "23966",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "G7526",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01239664",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sydney Susan Heflin, ED.D.
• Joseph Lee Hegarty, MD
• Timothy Hegeman, DO
• Anne Michelle Hegler
• James Hegler, RBT
• Ashley Heguy, PTA
• James T Heiberger, MD
• Mara Heiden, IBCLC
• Victoria Heidersberger
• Heidi C Rogers MD PC

• Anatomic Pathology & Clinical Pathology Physician in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Anatomic Pathology & Clinical Pathology Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.

Verify at the official NPI Registry.