Debra Heverly, MD

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

129779 Issued in NY

Practice address

2315 Whirlpool St # 415
Niagara Falls, NY 14305-2413

Phone

(210) 607-0126

NPI assigned

Oct 3, 2019

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Heverly Medical Inc.

  • General Practice Physician
  • Niagara Falls, NY
  • NPI 1902447691
  NPD Authorized official

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

{
    "created_epoch": "1570060800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1710528583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2315 WHIRLPOOL ST # 415",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143052413"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2315 WHIRLPOOL ST # 415",
            "city": "NIAGARA FALLS",
            "state": "NY",
            "postal_code": "143052413",
            "telephone_number": "210-607-0126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEVERLY",
        "first_name": "DEBRA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-03",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "129779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Nellie Ann Herman
• Tracy Ann Herr
• Michelle Hess
• Nicholas Ryan Hester, LMSW
• Heverly Medical Inc.
• High Ocean Inc.
• Tara Audra Hildebrant
• Rashekeh Hilson, LPN
• Nicole Lee Hobbs, PT, DPT
• Hoffman Family Dentistry, PLLC

• General Practice Physician in Niagara Falls, NY
• Providers in Niagara Falls, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.