Organization Active NPI

Heritage Surgical, P.C.

  • Surgery Physician
  • Danville, IN
National Provider Identifier
1962625004
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
01035199A Issued in IN
Legal business name
HERITAGE SURGICAL, P.C.
Practice address
998 E Main St Ste 101
Danville, IN 46122-1900
Phone
(317) 745-8642
Fax
(317) 745-8645
NPI assigned
Apr 10, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Lemoyne Rheul Pringle, M.D.NPI 1558411199
Title
President
Phone
(317) 745-8642

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)CodeLicenseStatePrimary
Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 208600000X 01035199A IN Primary

Addresses

Primary practice location

998 E Main St Ste 101
Danville, IN 46122-1900

Mailing address

998 E Main St Ste 101
Danville, IN 46122-1900
Phone (317) 745-8642

National Provider Directory

National Provider Directory

Locations

998 E Main St
Ste 101
Danville, IN 46122
Phone (317) 745-8642

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.

NPI Registry JSON

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

{
    "created_epoch": "1176163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1962625004",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "998 E MAIN ST STE 101",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221900",
            "telephone_number": "317-745-8642",
            "fax_number": "317-745-8645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "998 E MAIN ST STE 101",
            "city": "DANVILLE",
            "state": "IN",
            "postal_code": "461221900",
            "telephone_number": "317-745-8642",
            "fax_number": "317-745-8645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE SURGICAL, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-10",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRINGLE",
        "authorized_official_first_name": "LEMOYNE",
        "authorized_official_middle_name": "RHEUL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-745-8642",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery",
            "state": "IN",
            "license": "01035199A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.