Jack N Hehmeyer, PA

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

PA03299 Issued in TX

Practice address

1205 E 35TH St
Texarkana, AR 71854-2746

Phone

(903) 735-5355

Fax

(903) 735-5399

NPI assigned

Sep 22, 2005

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

Other identifiers 3

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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

{
    "created_epoch": "1127347200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206489600000",
    "number": "1629064977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 811",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755040811",
            "telephone_number": "903-735-5355",
            "fax_number": "903-735-5399"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1205 E 35TH ST",
            "city": "TEXARKANA",
            "state": "AR",
            "postal_code": "718542746",
            "telephone_number": "903-735-5355",
            "fax_number": "903-735-5399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEHMEYER",
        "first_name": "JACK",
        "middle_name": "N",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-22",
        "last_updated": "2008-03-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA03299",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970025486",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "PA-193",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "8N4180",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Donna Harry Hartfield, FNP
• Holly Hawthorne
• Jonathan D Head, MHPP
• Healthcare Express, LLP
• Healthy Connections Incorporated
• Staci Kindle Helms
• Andrea Jeanette Henry
• Heritage Home Health, LLC
• Esmeralda Hernandez
• Randall R Hickerson, D.D.S.

• Medical Physician Assistant in Texarkana, AR
• Providers in Texarkana, AR by specialty
• Medical Physician Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 26, 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.

Verify at the official NPI Registry.