Active NPI
Robert Heuermann MD LLC
- Surgery Physician
- Talladega, AL
National Provider Identifier
1689206740
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- Legal business name
- ROBERT HEUERMANN MD LLC
- Practice address
- 107 Patty Lane
Talladega, AL 35160 - Phone
- (256) 761-0921
- NPI assigned
- Feb 6, 2020
- 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
- Robert Heuermann, MD
- Title
- Owner
- Phone
- (256) 266-4048
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | Primary |
Addresses
Primary practice location
107 Patty Lane
Talladega, AL 35160
Mailing address
107 Patty Lane
Talladega, AL 35160
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051557577 | Medicaid | AL |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1580947200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1580947200000",
"number": "1689206740",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "107 PATTY LANE",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "35160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "107 PATTY LANE",
"city": "TALLADEGA",
"state": "AL",
"postal_code": "35160",
"telephone_number": "256-761-0921"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ROBERT HEUERMANN MD LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-02-06",
"last_updated": "2020-02-06",
"certification_date": "2020-02-06",
"status": "A",
"authorized_official_last_name": "HEUERMANN",
"authorized_official_first_name": "ROBERT",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "256-266-4048",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Surgery",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "051557577",
"state": "AL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Talladega, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.