Active NPI
Douglas O'Heir, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Waterville, ME
National Provider Identifier
1891854931
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- POD175
- Legal business name
- DOUGLAS O'HEIR, D.P.M.
- Practice address
- 143 Silver St
Waterville, ME 04901-5833 - Phone
- (207) 872-2262
- Fax
- (207) 872-8411
- NPI assigned
- Dec 6, 2006
- Last updated
- Aug 22, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Douglas A. O'Heir, D.P.M.
- Title
- Owner
- Phone
- (207) 872-2262
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | POD175 | ME | Primary |
Addresses
Primary practice location
143 Silver St
Waterville, ME 04901-5833
Mailing address
143 Silver St
Waterville, ME 04901-5833
Phone (207) 872-2262
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5528251 | Other | ME | AETNA |
| MM6649 | Other | MEDICARE GROUP PTAN | |
| M53560 | Other | ME | CIGNA |
| 114490099 | Medicaid | ME | |
| 002205 | Other | ME | ANTHEM |
| 1891854931 | Other | ME | MEDICARE GROUP NPI |
| 480002906 | Other | ME | RAIL ROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
143 Silver St
Waterville, ME 04901
Phone (207) 872-2262
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Foot & Ankle Surgery Podiatrist
- Waterville, ME
- NPI 1750388484
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165363200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1313971200000",
"number": "1891854931",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "143 SILVER ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015833",
"telephone_number": "207-872-2262",
"fax_number": "207-872-8411"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "143 SILVER ST",
"city": "WATERVILLE",
"state": "ME",
"postal_code": "049015833",
"telephone_number": "207-872-2262",
"fax_number": "207-872-8411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "DOUGLAS O'HEIR, D.P.M.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-06",
"last_updated": "2011-08-22",
"status": "A",
"authorized_official_last_name": "O'HEIR",
"authorized_official_first_name": "DOUGLAS",
"authorized_official_middle_name": "A.",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "207-872-2262",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "D.P.M."
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "ME",
"license": "POD175",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5528251",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP PTAN",
"identifier": "MM6649",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "M53560",
"state": "ME"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "114490099",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "002205",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE GROUP NPI",
"identifier": "1891854931",
"state": "ME"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAIL ROAD MEDICARE",
"identifier": "480002906",
"state": "ME"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Waterville, ME
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.