Organization Active NPI

David H. Heller, MD PC

  • Orthopaedic Surgery Physician
  • Weymouth, MA
National Provider Identifier
1982889853
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
31933 Issued in MA
Legal business name
DAVID H. HELLER, MD PC
Practice address
541 Main St
Suite 104
Weymouth, MA 02190-1868
Phone
(781) 337-1173
NPI assigned
Jan 9, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
David H Heller, M.D.
Title
Owner
Phone
(781) 337-1173

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207X00000X 31933 MA Primary

Addresses

Primary practice location

541 Main St
Suite 104
Weymouth, MA 02190-1868

Mailing address

541 Main St
Suite 104
Weymouth, MA 02190-1868
Phone (781) 337-1173

Other identifiers 2

IdentifierTypeStateIssuer
M12714OtherMABCBS MA
9776613MedicaidMA

National Provider Directory

National Provider Directory

Locations

541 Main St
Ste 104
Weymouth, MA 02190
Phone (617) 296-1800

NPI Registry JSON

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

{
    "created_epoch": "1199836800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1982889853",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 104",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-337-1173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "541 MAIN ST",
            "address_2": "SUITE 104",
            "city": "WEYMOUTH",
            "state": "MA",
            "postal_code": "021901868",
            "telephone_number": "781-337-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID H. HELLER, MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-09",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "781-337-1173",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "MA",
            "license": "31933",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS MA",
            "identifier": "M12714",
            "state": "MA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9776613",
            "state": "MA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Weymouth, MA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.