Eric J Heinzelmann, MD

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

License

15535 Issued in SC

Practice address

131 Summerplace Dr
West Columbia, SC 29169-3058

Phone

(803) 794-4585

Fax

(803) 796-8924

NPI assigned

Jul 11, 2006

Last updated

Oct 11, 2007By the provider in NPPES

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 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1192060800000",
    "number": "1861427726",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "131 SUMMERPLACE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693058",
            "telephone_number": "803-794-4585",
            "fax_number": "803-796-8924"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "131 SUMMERPLACE DR",
            "city": "WEST COLUMBIA",
            "state": "SC",
            "postal_code": "291693058",
            "telephone_number": "803-794-4585",
            "fax_number": "803-796-8924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZELMANN",
        "first_name": "ERIC",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2007-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "SC",
            "license": "15535",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "155352",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Gastroenterology Physician in West Columbia, SC
• Providers in West Columbia, SC by specialty
• Gastroenterology Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 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.