Raymond R Heyde, MD

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

036075507 Issued in IL

Practice address

400 NE Saint Mark CT
Peoria, IL 61603-3717

Phone

(309) 674-1234

Fax

(309) 674-6422

NPI assigned

Aug 22, 2005

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)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

Interoperability endpoints

• Direct secure messaging: rheyde@heydeeye.intellechartdirect.net

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

{
    "created_epoch": "1124668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276819200000",
    "number": "1861484263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 NE SAINT MARK CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033717",
            "telephone_number": "309-674-1234",
            "fax_number": "309-674-6422"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 NE SAINT MARK CT",
            "city": "PEORIA",
            "state": "IL",
            "postal_code": "616033717",
            "telephone_number": "309-674-1234",
            "fax_number": "309-674-6422"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEYDE",
        "first_name": "RAYMOND",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-22",
        "last_updated": "2010-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "",
            "desc": "Ophthalmology",
            "state": "IL",
            "license": "036075507",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036075507",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Laura E Hertz, NP
• Kimberley B Herzog, LISW-S
• Lisa D Heuermann, OTR
• Nicholas Heuermann
• Heyde Eye Center S.C
• Brian W Heywood, MD
• Melinda Sue Hickey, MSN, AGNP-C, CWON
• Leland Hickman, D.M.D.
• Terri Hicok, NP
• Higgins Wellness Center, S.C.

• Ophthalmology Physician in Peoria, IL
• Providers in Peoria, IL by specialty
• Ophthalmology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2010; 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.