Individual provider Active NPI

Gary Herschel Heck, DO

  • Internal Medicine Physician
  • Kinston, NC
National Provider Identifier
1780670695
Registry record updated Feb 19, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
40032 Issued in NC
Practice address
744 Airport Rd
Kinston, NC 28504-8800
Phone
(252) 523-0026
Fax
(252) 523-1855
NPI assigned
Sep 26, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 40032 NC Primary

Addresses

Primary practice location

744 Airport Rd
Kinston, NC 28504-8800

Mailing address

744 Airport Rd
Kinston, NC 28504-8800
Phone (252) 523-0026

Other identifiers 1

IdentifierTypeStateIssuer
NCH300BOtherNCMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050218000737 NC Practitioner - Internal MedicinePractitioner - Emergency Medicine 5597737908 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
West Virginia School of Osteopathic Medicine, 1983
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

2303 Wellington Dr SW
Suite B
Wilson, NC 27893-8620
Phone (252) 243-6818

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
40032NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Carolina Physicians P.a. Internal Medicine Current Accepting new patients
Lenoir Memorial Hospital, Incorporated CurrentSince Dec 1, 1999 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 8, 2014 Accepting new patients
Lenoir Memorial Hospital, Incorporated Past Accepting new patients

Locations

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Airport Rd
Kinston, NC 28501
Phone (252) 522-7000

744 Airport Rd
Kinston, NC 28504
Phone (252) 523-0026

701 Doctors Dr
Ste G
Kinston, NC 28501
Phone (252) 522-2020

1705 Tarboro St SW
Wilson, NC 27893
Phone (252) 399-8040

Organizations & group practices 4

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1127692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424304000000",
    "number": "1780670695",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "744 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048800",
            "telephone_number": "252-523-0026",
            "fax_number": "252-523-1855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 AIRPORT RD",
            "city": "KINSTON",
            "state": "NC",
            "postal_code": "285048800",
            "telephone_number": "252-523-0026",
            "fax_number": "252-523-1855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECK",
        "first_name": "GARY",
        "middle_name": "HERSCHEL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-26",
        "last_updated": "2015-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "40032",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "NCH300B",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kinston, NC

Sources for this page

Verify at the official NPI Registry.