Thomas P Heberling, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

MD014021E Issued in PA

Practice address

210 3Rd St
Mount Gretna, PA 17064-6048

Phone

(717) 964-2327

NPI assigned

Mar 29, 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

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1143590400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1351641600000",
    "number": "1770544702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 215",
            "address_2": "210 THIRD STREET",
            "city": "MOUNT GRETNA",
            "state": "PA",
            "postal_code": "170640215",
            "telephone_number": "717-964-2327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "210 3RD ST",
            "city": "MOUNT GRETNA",
            "state": "PA",
            "postal_code": "170646048",
            "telephone_number": "717-964-2327"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEBERLING",
        "first_name": "THOMAS",
        "middle_name": "P",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-29",
        "last_updated": "2012-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "PA",
            "license": "MD014021E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAPITAL BLUE CROSS",
            "identifier": "01562902",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0011233640001",
            "state": "PA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HIGHMARK BLUE SHIELD",
            "identifier": "108432",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Mary Gruber, PSYD
• Cary D Habegger, PH D
• Kelly L Harnish, MSW
• Katherine Ashley Hatley, MA, LPC
• Lenora Hayduk
• Dawn M Hoffman
• Stephen A Huber, MSW
• Ted A Hummel, MS
• Geraldine Jumogolima Idoniboye, M.D.
• Kelly Ann Ilyas

• Emergency Medicine Physician in Mount Gretna, PA
• Providers in Mount Gretna, PA by specialty
• Emergency Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2012; 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.