Individual provider Active NPI

Corey Regan Heitz, MD

  • Emergency Medicine Physician
  • Dayton, OH
National Provider Identifier
1669684379
Registry record updated Jul 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
2007-00394 Issued in NC
Practice address
1 Wyoming St
Medical Education, MVH
Dayton, OH 45409-2722
Phone
(937) 208-3844
NPI assigned
May 4, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2008

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 2007-00394 NC Primary
Emergency Medicine Physician 207P00000X 35.091255 OH

Addresses

Primary practice location

1 Wyoming St
Medical Education, MVH
Dayton, OH 45409-2722

Mailing address

1 Wyoming St
Medical Education, MVH
Dayton, OH 45409-2722
Phone (937) 208-3844

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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

Enrollment IDStateProvider typePAC IDDetails
I20111004000019 VA Practitioner - Emergency Medicine 1759474596 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Eastern Virginia Medical School, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Coverage LLCGroup PAC ID 3072412592, 761 clinicians
Lake Spring Emergency Group LLCGroup PAC ID 6406103498, 51 clinicians
Wildwood Emergency Group, LLCGroup PAC ID 4789932385, 35 clinicians

Practice addresses (Care Compare)

1602 Skipwith Rd
Richmond, VA 23229-5205
Phone (804) 289-4500

1900 Electric Rd
Salem, VA 24153-7474
Phone (540) 776-4000

3700 S Main St
Blacksburg, VA 24060-7017
Phone (540) 951-1111

Hospital & facility affiliations

  • Lewisgale Hospital Montgomery Hospital, Blacksburg, VA, CCN 490110
  • Lewisgale Medical Center Hospital, Salem, VA, CCN 490048

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2007-00394NCMDEmergency Medicine Physician
35.091255OHMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Spring Emergency Group, LLC Emergency Medicine CurrentSince Jun 25, 2018 Accepting new patients
Kingsford Physician Services, LLC CurrentSince Sep 3, 2023 Accepting new patients
Emergency Coverage, LLC Emergency Medicine CurrentSince Oct 1, 2023 Accepting new patients
Ingleside Emergency Group, LLC Emergency Medicine CurrentSince Jun 20, 2018 Accepting new patients
Kingsford Emergency Group, LLC Emergency Medicine CurrentSince Sep 3, 2023 Accepting new patients
Wildwood Emergency Group, LLC Emergency Medicine CurrentSince Jun 10, 2018 Accepting new patients
Emergency Coverage Services, PC Past Accepting new patients
Miami Valley Emergency Specialists, LLC Emergency Medicine Past Accepting new patients
Emergency Medicine Physicians of Davidson County, PLLC Emergency Medicine Past Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients

Locations

3700 S Main St
Blacksburg, VA 24060
Phone (540) 951-1111

1 Arh Ln
Low Moor, VA 24457
Phone (540) 862-6223

2400 Lee Hwy N
Pulaski, VA 24301
Phone (540) 994-8100

1602 Skipwith Rd
Richmond, VA 23229
Phone (804) 289-4500

1900 Electric Rd
Salem, VA 24153
Phone (540) 772-3400

Organizations & group practices 10

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

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1178236800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214956800000",
    "number": "1669684379",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "address_2": "MEDICAL EDUCATION, MVH",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-3844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 WYOMING ST",
            "address_2": "MEDICAL EDUCATION, MVH",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454092722",
            "telephone_number": "937-208-3844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEITZ",
        "first_name": "COREY",
        "middle_name": "REGAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-04",
        "last_updated": "2008-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "2007-00394",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OH",
            "license": "35.091255",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dayton, OH

Sources for this page

Verify at the official NPI Registry.