Active NPI
Charles Christian Heck Jr., M.D.
- Orthopaedic Surgery Physician
- Scottsville, NY
National Provider Identifier
1962642496
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 097246
- Practice address
- 678 Quaker Rd
Scottsville, NY 14546-9635 - Phone
- (585) 889-3115
- NPI assigned
- Feb 24, 2009
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 097246 | NY | Primary |
Addresses
Primary practice location
678 Quaker Rd
Scottsville, NY 14546-9635
Mailing address
678 Quaker Rd
Scottsville, NY 14546-9635
Phone (585) 889-3115
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
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 097246 | NY | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1235433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1235433600000",
"number": "1962642496",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "678 QUAKER RD",
"city": "SCOTTSVILLE",
"state": "NY",
"postal_code": "145469635",
"telephone_number": "585-889-3115"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "678 QUAKER RD",
"city": "SCOTTSVILLE",
"state": "NY",
"postal_code": "145469635",
"telephone_number": "585-889-3115"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HECK",
"first_name": "CHARLES",
"middle_name": "CHRISTIAN",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2009-02-24",
"last_updated": "2009-02-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "NY",
"license": "097246",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Scottsville, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.