Ralph Duane Heckard, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

M4388 Issued in ID

Practice address

238 Oakwood Dr
Pocatello, ID 83204-3908

Phone

(208) 201-0795

NPI assigned

Dec 27, 2006

Last updated

Jun 22, 2016By 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 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Intercept Systems, PLLC

  • Primary Care Clinic/Center
  • Blackfoot, ID
  • NPI 1275707630
  Authorized official Same address or phone

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

{
    "created_epoch": "1167177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1466553600000",
    "number": "1619032687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "238 OAKWOOD DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043908",
            "telephone_number": "208-201-0795"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "238 OAKWOOD DR",
            "city": "POCATELLO",
            "state": "ID",
            "postal_code": "832043908",
            "telephone_number": "208-201-0795"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKARD",
        "first_name": "RALPH",
        "middle_name": "DUANE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-12-27",
        "last_updated": "2016-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "ID",
            "license": "M4388",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Richard Gabriel Heath, DO
• Emily A Heather, PA
• Wesley F Heatherly, D.C.
• Zachary Heaton
• David Michael Heaven
• Jessica Heglund, LMSW
• Jeremy Wayne Hegman, DPT
• Holly Marie Heidemann, TOXICOLOGYFACILITATO
• June E Heilman, M. D.
• Tania Helbert, PT

• General Practice Physician in Pocatello, ID
• Providers in Pocatello, ID by specialty
• General Practice Physician in Idaho

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.