Active NPI
Barbara Ann Heere, MD
- Internal Medicine Physician
- Williamsport, PA
National Provider Identifier
1902865793
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- MD025531E
- Practice address
- 904 Campbell St
Suite 102
Williamsport, PA 17701-3154 - Phone
- (570) 321-2284
- Fax
- (570) 321-2289
- NPI assigned
- Mar 21, 2006
- Last updated
- Feb 5, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD025531E | PA | Primary |
Addresses
Primary practice location
904 Campbell St
Suite 102
Williamsport, PA 17701-3154
Mailing address
1201 Grampian Blvd
Suite 1K
Williamsport, PA 17701-1900
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 437815 | Other | PA | HIGHMARK BLUE SHIELD |
| 001743 | Other | PA | FIRST PRIORITY HEALTH |
| 0009283320001 | Medicaid | PA | |
| 511134 | Other | PA | AETNA |
| B41824 | Other | PA | HEALTHAMERICA |
| 119470 | Other | PA | UNITEDHEALTHCARE |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142899200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360022400000",
"number": "1902865793",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1201 GRAMPIAN BLVD",
"address_2": "SUITE 1K",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177011900"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "904 CAMPBELL ST",
"address_2": "SUITE 102",
"city": "WILLIAMSPORT",
"state": "PA",
"postal_code": "177013154",
"telephone_number": "570-321-2284",
"fax_number": "570-321-2289"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEERE",
"first_name": "BARBARA",
"middle_name": "ANN",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-03-21",
"last_updated": "2013-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "PA",
"license": "MD025531E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HIGHMARK BLUE SHIELD",
"identifier": "437815",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "001743",
"state": "PA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0009283320001",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "511134",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHAMERICA",
"identifier": "B41824",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITEDHEALTHCARE",
"identifier": "119470",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Williamsport, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 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.