Active NPI
William J Heino Jr., D.O.
- Anesthesiology Physician
- Leonardtown, MD
National Provider Identifier
1891971933
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- H0076579
- Practice address
- 25500 Point Lookout Rd
Leonardtown, MD 20650-2015 - Phone
- (301) 475-6204
- Fax
- (301) 997-6507
- NPI assigned
- Jan 19, 2008
- Last updated
- Aug 21, 2013
- 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 7
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 234373 | NY | |
| Anesthesiology Physician | 207L00000X | 047202 | CT | |
| Anesthesiology Physician | 207L00000X | H0076579 | MD | Primary |
| Critical Care Medicine (Anesthesiology) Physician | 207LC0200X | 234373 | NY | |
| Family Medicine Physician | 207Q00000X | 234373 | NY | |
| Family Medicine Physician | 207Q00000X | 047202 | CT | |
| Pediatric Anesthesiology Physician | 207LP3000X | 047202 | CT |
Addresses
Primary practice location
25500 Point Lookout Rd
Leonardtown, MD 20650-2015
Mailing address
PO Box 824339
Philadelphia, PA 19182-4339
Phone (866) 709-4485
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)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Osteopathy, Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 047202 | CT | MD | Anesthesiology Physician |
| H0076579 | MD | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alliance Anesthesia Associates, LLC | Anesthesiology | Past | Accepting new patients |
| Orange Anesthesia Services P.C.. | Anesthesiology | Past | Accepting new patients |
| Integrated Anesthesia Associates LLC | Anesthesiology | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Anesthesiology Physician
- Leonardtown, MD
- NPI 1073643870
-
- Anesthesiology Physician
- Shelton, CT
- NPI 1881636397
-
- Anesthesiology Physician
- Middletown, NY
- NPI 1760434690
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1200700800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377043200000",
"number": "1891971933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 824339",
"city": "PHILADELPHIA",
"state": "PA",
"postal_code": "191824339",
"telephone_number": "866-709-4485",
"fax_number": "302-733-0854"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "25500 POINT LOOKOUT RD",
"city": "LEONARDTOWN",
"state": "MD",
"postal_code": "206502015",
"telephone_number": "301-475-6204",
"fax_number": "301-997-6507"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINO",
"first_name": "WILLIAM",
"middle_name": "J",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-01-19",
"last_updated": "2013-08-21",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "NY",
"license": "234373",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "CT",
"license": "047202",
"primary": false
},
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "MD",
"license": "H0076579",
"primary": true
},
{
"code": "207LC0200X",
"taxonomy_group": "",
"desc": "Anesthesiology, Critical Care Medicine",
"state": "NY",
"license": "234373",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "234373",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CT",
"license": "047202",
"primary": false
},
{
"code": "207LP3000X",
"taxonomy_group": "",
"desc": "Anesthesiology, Pediatric Anesthesiology",
"state": "CT",
"license": "047202",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Leonardtown, MD
- Heather Hayden
- Kayla Schrumpf Hayden
- David Joseph Hayes, MS, LAT, ATC
- Healing by U, LLC
- Healogics Specialty Physicians of Maryland, LLC
- Helixcare Medical Group, LLC (MedStar Physician Partners at St. Mary's)
- Helixcare Medical Group, LLC (MedStar Physician Partners at St. Clement's)
- Jennifer Helms, LCSW-C
- Mehdi Hemmati
- Mark H Henderson Jr., MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 21, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.