Active NPI
Creighton Gregory Heyl, D.O..
- Orthopaedic Surgery Physician
- Richmond HTS, OH
National Provider Identifier
1619971967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 003096
- Practice address
- 26971 Chardon Rd
Richmond HTS, OH 44143-1111 - Phone
- (440) 943-2086
- Fax
- (440) 943-5440
- NPI assigned
- Jun 1, 2005
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 003096 | OH | Primary |
Addresses
Primary practice location
26971 Chardon Rd
Richmond HTS, OH 44143-1111
Mailing address
26971 Chardon Rd
Richmond HTS, OH 44143-1111
Phone (440) 943-2086
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 791126347 | Other | OH | MEDICARE RAILROAD |
| 351497 | Other | OH | WELLCARE |
| 000000130736 | Other | OH | ANTHEM |
| 213866900 | Other | OH | OH DEPT OF LABOR |
| 0439627 | Medicaid | OH | |
| 3413456000027 | Other | OH | CARESOURCE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3096 | OH | MD | Pediatric Optometrist |
| 003096 | OH | MD | Orthopaedic Surgery Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1619971967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "26971 CHARDON RD",
"city": "RICHMOND HTS",
"state": "OH",
"postal_code": "441431111",
"telephone_number": "440-943-2086",
"fax_number": "440-943-5440"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26971 CHARDON RD",
"city": "RICHMOND HTS",
"state": "OH",
"postal_code": "441431111",
"telephone_number": "440-943-2086",
"fax_number": "440-943-5440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEYL",
"first_name": "CREIGHTON",
"middle_name": "GREGORY",
"name_prefix": "Dr.",
"credential": "D.O..",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-01",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OH",
"license": "003096",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "791126347",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "351497",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000130736",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OH DEPT OF LABOR",
"identifier": "213866900",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0439627",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CARESOURCE",
"identifier": "3413456000027",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond HTS, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.