Will D Heise, MD
Individual provider Active NPI Family Medicine Physician · Choctaw, OK
NPI 1962840504 · NPPES record last updated Oct 30, 2020
Key facts
- NPI
- 1962840504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 32026 (OK)
- Practice address
- 15679 NE 23Rd St
Choctaw, OK 73020-8592 - Phone
- (405) 390-1800
- Fax
- (405) 390-3846
- NPI assigned
- Jun 5, 2013
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 10
Hospital & facility affiliations 8
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Oklahoma College of Medicine, 2013
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Saints Medical Group, LLC
Practice addresses (Care Compare)
6201 N Santa Fe
Suite 2010
Oklahoma City, OK 73118-7538
Phone (405) 272-5555
Hospital & facility affiliations
- SSM Health at Home Home Health - Oklahoma
- Abiding Home Health of Oklahoma City
- Elara Caring Xxiii
- SSM Health St Anthony Hospital - Oklahoma City
- SSM Health St Anthony Hospital - Midwest
- SSM Health St Anthony Hospital - Shawnee
- O U Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160803000127 | OK | Practitioner - Family Practice | 7517265028 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Saints Medical Group, LLC | Family Medicine | Current |
Accepting new patients |
| SSM Health Care of Oklahoma, Inc. | Family Medicine | Current |
Accepting new patients |
| Saints Medical Group, LLC | Current |
Accepting new patients | |
| SSM Health Care of Oklahoma, Inc | Current | Accepting new patients | |
| SSM Health Care of Oklahoma, Inc. | Past | Accepting new patients | |
| Summit Medical Center | Past | Accepting new patients |
Locations
7106 Solutions Ctr
Chicago, IL 60677
15679 NE 23rd St
Choctaw, OK 73020
Phone (405) 390-1800
18961 NE 23rd St
Harrah, OK 73045
Phone (405) 390-1800
608 NW 9th St
Ste 1100
Oklahoma City, OK 73102
Phone (405) 231-3000
6201 N Santa Fe Ave
Ste 2010
Oklahoma City, OK 73118
Phone (405) 272-5555
608 NW 9th St
Ste 2200
Oklahoma City, OK 73102
Phone (405) 231-3737
3315 Kethley Rd
Shawnee, OK 74804
Phone (405) 273-5801
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | BP10046113 | TX | |
| Family Medicine Physician | 207Q00000X | 32026 | OK | Yes |
Addresses
Primary practice location
15679 NE 23Rd St
Choctaw, OK 73020-8592
Mailing address
15679 NE 23Rd St
Choctaw, OK 73020-8592
Phone (405) 390-1800
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | wheise176612@direct-ehr-ssmhc.com | Direct | |
| FHIR URL | https://fhir.ssmhc.com/fhir/api/FHIR/DSTU2/ | Other |
Other providers in Choctaw, OK
- Cara Michelle Hammon
- Anna M Hatchell
- Easton Hays
- Healthcare Express, LLP
- Kelly Ann Hearn
- Kaitlin Nicole Heon
- Stephanie Herndon
- Andrew E Heuser
- Jennifer Hite
- Jeffrey Michael Hogan
All providers in Choctaw, OK · Family Medicine Physician in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 30, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.