Nosratollah Heidarian Sr., DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

1043P Issued in TX

Practice address

9530 Viscount Ste 2P
El Paso, TX 79925

Phone

(915) 591-4499

Fax

(915) 591-3011

NPI assigned

Sep 2, 2006

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

State licenses

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

{
    "created_epoch": "1157155200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1700988441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9530 VISCOUNT STE 2P",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "telephone_number": "915-591-4499",
            "fax_number": "915-591-3011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9530 VISCOUNT STE 2P",
            "city": "EL PASO",
            "state": "TX",
            "postal_code": "79925",
            "telephone_number": "915-591-4499",
            "fax_number": "915-591-3011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDARIAN",
        "first_name": "NOSRATOLLAH",
        "name_prefix": "Mr.",
        "name_suffix": "Sr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-02",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "TX",
            "license": "1043P",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4209016",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "B19A",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104721036",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hector M Adame Ms CCC-SLP PC
• Hector O Pacheco MD PA
• Hector R. Martinez MD PA
• Cassidy Hedrick, OTR
• John Alexander Heflin, MD
• Hanna Cristina Heideman, M.D.
• Gloria Romero Heinrichs
• Todd A Heins, PA-C
• Helena H. Liptakova, MD., PLLC
• Connie Lynn Hellmuth, LPC

• Podiatrist in El Paso, TX
• Providers in El Paso, TX by specialty
• Podiatrist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.