Active NPI
Jonathan Neal Heiman, M.D.
- Pediatrics Physician
- Slidell, LA
National Provider Identifier
1740449677
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- MD.204204
- Practice address
- 59101 Amber Street
Children'S International, LLC
Slidell, LA 70461-2865 - Phone
- (958) 646-1580
- NPI assigned
- Jun 5, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | MD.204204 | LA | Primary |
Addresses
Primary practice location
59101 Amber Street
Children'S International, LLC
Slidell, LA 70461-2865
Mailing address
5959 S Sherwood Forest Blvd
Baton Rouge, LA 70816-6038
Phone (225) 765-5727
Other practice location 1
433 Plaza St., Ste. 1A
Our Lady of the Angels Pediatric Clinic
Bogalusa, LA 70427
Phone (985) 730-6970
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093335 | Medicaid | LA |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jheiman15849@direct.casso.us.com | Direct | |
| FHIR URL | https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/ | Other |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington St. Tammany Regional Medical Center | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Pharmacy
- Bogalusa, LA
- NPI 1801801436
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212624000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1616544000000",
"number": "1740449677",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5959 S SHERWOOD FOREST BLVD",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708166038",
"telephone_number": "225-765-5727",
"fax_number": "225-765-9196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "59101 AMBER STREET",
"address_2": "CHILDREN'S INTERNATIONAL, LLC",
"city": "SLIDELL",
"state": "LA",
"postal_code": "704612865",
"telephone_number": "958-646-1580"
}
],
"practiceLocations": [
{
"address_1": "433 Plaza St., Ste. 1A",
"address_2": "Our Lady of the Angels Pediatric Clinic",
"address_purpose": "LOCATION",
"city": "Bogalusa",
"state": "LA",
"postal_code": "70427",
"country_code": "US",
"telephone_number": "985-730-6970",
"fax_number": "985-730-6398",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIMAN",
"first_name": "JONATHAN",
"middle_name": "NEAL",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-05",
"last_updated": "2021-03-24",
"certification_date": "2021-03-24",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "LA",
"license": "MD.204204",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1093335",
"state": "LA"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jheiman15849@direct.casso.us.com",
"affiliation": "N",
"endpointDescription": "FMOLHS-Epic",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "jheiman15849@direct.casso.us.com",
"address_1": "433 Plaza St., Ste. 1A",
"address_2": "Our Lady of the Angels Pediatric Clinic",
"city": "Bogalusa",
"state": "LA",
"country_code": "US",
"postal_code": "70427",
"country_name": "United States",
"address_type": "DOM"
},
{
"endpointType": "FHIR",
"endpointTypeDescription": "FHIR URL",
"endpoint": "https://epicproxy.et0830.epichosted.com/FHIRProxy/api/FHIR/DSTU2/",
"affiliation": "N",
"endpointDescription": "FMOLHS FHIR URL",
"use": "OTHER",
"useDescription": "Other",
"useOtherDescription": "FHIR API",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "C-CDA",
"address_1": "433 Plaza St., Ste. 1A",
"address_2": "Our Lady of the Angels Pediatric Clinic",
"city": "Bogalusa",
"state": "LA",
"country_code": "US",
"postal_code": "70427",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Slidell, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.