Family Doctor, Inc

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

FAMILY DOCTOR, INC

Practice address

1040 Chestnut St
Emmaus, PA 18049-1952

Phone

(610) 966-5549

Fax

(610) 967-0204

NPI assigned

Jan 10, 2007

Last updated

Nov 29, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. John N Heid, D.O.

Title

President

Phone

(610) 966-5549

Specialties & licenses 1

Addresses

Other identifiers 3

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1730238494",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1040 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491952",
            "telephone_number": "610-966-5549",
            "fax_number": "610-967-0204"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 CHESTNUT ST",
            "city": "EMMAUS",
            "state": "PA",
            "postal_code": "180491952",
            "telephone_number": "610-966-5549",
            "fax_number": "610-967-0204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FAMILY DOCTOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "HEID",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "610-966-5549",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GEISINGER HEALTH PLAN",
            "identifier": "E1BB",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "02349800",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PA. BLUE SHIELD",
            "identifier": "875361",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Emmaus Healing Arts Center, LLC
• Empower Care Services LLC
• Empower Nutrition & Wellness, LLC (Empower Nutrition & Wellness)
• Joyce Erlandsen, B.S.
• Justina Eskaf, MS/CCC-SLP
• Keily Farnack
• Mashal Farrukh, DDS
• Keith John Faust, LPC
• Barbara Fillman
• Michael Anthony Fiore, NREMT

• Family Medicine Physician in Emmaus, PA
• Providers in Emmaus, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.