Active NPI
William J Heim, MD
- Hematology & Oncology Physician
- Dunmore, PA
National Provider Identifier
1821087370
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD012193E
- Practice address
- 1100 Meade St
Dunmore, PA 18512-3169 - Phone
- (570) 342-3675
- Fax
- (570) 342-3316
- NPI assigned
- Oct 18, 2005
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD012193E | PA | Primary |
Addresses
Primary practice location
1100 Meade St
Dunmore, PA 18512-3169
Mailing address
1100 Meade St
Dunmore, PA 18512-3169
Phone (570) 342-3675
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0006637650002 | Medicaid | PA |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD012193E | PA | MD | Hematology & Oncology Physician |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Clinical Medical Laboratory
- Dunmore, PA
- NPI 1528212404
-
- Hematology & Oncology Physician
- Scranton, PA
- NPI 1265560015
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1129593600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1449014400000",
"number": "1821087370",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1100 MEADE ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185123169",
"telephone_number": "570-342-3675",
"fax_number": "570-342-3316"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 MEADE ST",
"city": "DUNMORE",
"state": "PA",
"postal_code": "185123169",
"telephone_number": "570-342-3675",
"fax_number": "570-342-3316"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEIM",
"first_name": "WILLIAM",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-18",
"last_updated": "2015-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "PA",
"license": "MD012193E",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0006637650002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Dunmore, PA
- Kelly Ann Harvey, LSW
- Cassandra Haw
- William Hayes
- Andrew William Healey Jr., DPT
- Health Systems & Solutions, Inc. (dba Dunmore Drug Store)
- Millyjean Helvick, MA
- Hematology & Oncology Associates of Northeastern PA, PC
- Hematology and Oncology Associates of Nepa
- Hematology and Oncology Associates of Northeastern PA, PC
- Tiffany Henderson
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.