Organization Active NPI

Kenneth a. Heisler, M.D.P.C.

  • Surgery Physician
  • Falmouth, MA
National Provider Identifier
1598946709
Registry record updated Dec 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
Legal business name
KENNETH A. HEISLER, M.D.P.C.
Practice address
78 Main St
Falmouth, MA 02540-2692
Phone
(508) 548-8317
NPI assigned
Nov 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 23, 2010

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

Authorized official

Name
Kenneth Avery Heisler
Title
M.D./Owner
Phone
(508) 548-8317

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X Primary

Addresses

Primary practice location

78 Main St
Falmouth, MA 02540-2692

Mailing address

78 Main St
Falmouth, MA 02540-2692
Phone (508) 548-8317

Other identifiers 2

IdentifierTypeStateIssuer
9728635MedicaidMA
M13557OtherMABC/BS

National Provider Directory

National Provider Directory

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": "1195084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1293062400000",
    "number": "1598946709",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402692",
            "telephone_number": "508-548-8317"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "78 MAIN ST",
            "city": "FALMOUTH",
            "state": "MA",
            "postal_code": "025402692",
            "telephone_number": "508-548-8317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH A. HEISLER, M.D.P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-15",
        "last_updated": "2010-12-23",
        "status": "A",
        "authorized_official_last_name": "HEISLER",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "AVERY",
        "authorized_official_title_or_position": "M.D./OWNER",
        "authorized_official_telephone_number": "508-548-8317"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9728635",
            "state": "MA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "M13557",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Falmouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2010; 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.