Active NPI
Incline Village Urgent Care Inc
- Family Medicine Physician
- Incline Village, NV
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 9689
- Legal business name
- INCLINE VILLAGE URGENT CARE INC
- Practice address
- 995 Tahoe Blvd Ste 301
Incline Village, NV 89451-9574 - Phone
- (775) 833-2929
- Fax
- (775) 833-0277
- NPI assigned
- Jun 20, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Timothy Joseph Heilman, MD
- Title
- President
- Phone
- (775) 833-2929
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 9689 | NV | Primary |
Addresses
Primary practice location
995 Tahoe Blvd Ste 301
Incline Village, NV 89451-9574
Mailing address
995 Tahoe Blvd Ste 301
Incline Village, NV 89451-9574
Phone (775) 833-2929
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NV
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
995 Tahoe Blvd
Ste 301
Incline Village, NV 89451
Phone (775) 833-2929
995 Tahoe Blvd
#301
Incline Village, NV 89451
Phone (775) 833-2929
930 Tahoe Blvd
Ste 207
Incline Vlg, NV 89451
Phone (775) 833-2929
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Family Medicine Physician
- Incline Village, NV
- NPI 1659489177
-
- Sports Medicine (Family Medicine) Physician
- Incline Village, NV
- NPI 1942256169
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182297600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1649475419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "995 TAHOE BLVD STE 301",
"city": "INCLINE VILLAGE",
"state": "NV",
"postal_code": "894519574",
"telephone_number": "775-833-2929",
"fax_number": "775-833-0277"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "995 TAHOE BLVD STE 301",
"city": "INCLINE VILLAGE",
"state": "NV",
"postal_code": "894519574",
"telephone_number": "775-833-2929",
"fax_number": "775-833-0277"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INCLINE VILLAGE URGENT CARE INC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-20",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "HEILMAN",
"authorized_official_first_name": "TIMOTHY",
"authorized_official_middle_name": "JOSEPH",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "775-833-2929",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": "NV",
"license": "9689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Incline Village, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.