Active NPI
Richard Joseph Heesen, M.D.
- Urgent Care Clinic/Center
- Buffalo, MN
National Provider Identifier
1679802672
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urgent Care Clinic/Center
- License
- 55306
- Practice address
- 1700 Highway 25 N
Buffalo, MN 55313-1930 - Phone
- (763) 684-3612
- NPI assigned
- Dec 22, 2009
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Urgent Care Clinic/Center | 261QU0200X | G55814 | CA | |
| Urgent Care Clinic/Center | 261QU0200X | 55306 | MN | Primary |
Addresses
Primary practice location
1700 Highway 25 N
Buffalo, MN 55313-1930
Mailing address
1700 Highway 25 N
Buffalo, MN 55313-1930
Phone (763) 684-3612
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 Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| G55814 | CA | MD | Urgent Care Clinic/Center |
| 55306 | MN | MD | Urgent Care Clinic/Center |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1261440000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1358467200000",
"number": "1679802672",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131930",
"telephone_number": "763-684-3612"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1700 HIGHWAY 25 N",
"city": "BUFFALO",
"state": "MN",
"postal_code": "553131930",
"telephone_number": "763-684-3612"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEESEN",
"first_name": "RICHARD",
"middle_name": "JOSEPH",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-12-22",
"last_updated": "2013-01-18",
"status": "A"
},
"taxonomies": [
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "CA",
"license": "G55814",
"primary": false
},
{
"code": "261QU0200X",
"taxonomy_group": "",
"desc": "Clinic/Center, Urgent Care",
"state": "MN",
"license": "55306",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Buffalo, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.