Michael John Higgins, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

MD-069582-L Issued in PA

Practice address

559 Vincent St BLDG 959
Peterson Afb, CO 80914-1541

Phone

(719) 524-2273

NPI assigned

Aug 18, 2005

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

Medicare fee-for-service enrollment

Enrolled in CA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

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": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1629060314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 VANDENBERG ST",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809143898",
            "telephone_number": "719-554-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "559 VINCENT ST BLDG 959",
            "city": "PETERSON AFB",
            "state": "CO",
            "postal_code": "809141541",
            "telephone_number": "719-524-2273"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1100 Wilford Hall Loop Bldg 4554",
            "address_purpose": "LOCATION",
            "city": "Jbsa Lackland",
            "state": "TX",
            "postal_code": "782365638",
            "country_code": "US",
            "telephone_number": "210-292-7749",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "63 Main Cir Ste 3",
            "address_purpose": "LOCATION",
            "city": "Jbsa Randolph",
            "state": "TX",
            "postal_code": "781504542",
            "country_code": "US",
            "telephone_number": "210-652-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 3rd St W Bldg 1040",
            "address_purpose": "LOCATION",
            "city": "Jbsa Randolph",
            "state": "TX",
            "postal_code": "781504800",
            "country_code": "US",
            "telephone_number": "210-652-8544",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HIGGINS",
        "first_name": "MICHAEL",
        "middle_name": "JOHN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-18",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD-069582-L",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD-069582-L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Wayne Erwin Grabow, DENTIST DDS
• Cheryl Elaine Gregorio, PAC
• Paul William Haag, D.D.S.
• Ashlee Lynne Hagar, RN
• Brent Eric Havey, DDS
• Chad Houchin, PSY.D.
• Lanesa Denses Howard
• Madeline Diane Howell, NP
• Krystin Hust, DPT
• Monica Ibarra, LCSW

• Psychiatry Physician in Peterson Afb, CO
• Providers in Peterson Afb, CO by specialty
• Psychiatry Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.