Active NPI
Chris M Heddon, DO
- Anesthesiology Physician
- Normal, IL
National Provider Identifier
1982936662
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 125.056268
- Practice address
- 1300 Franklin Ave
Suite 110
Normal, IL 61761-3592 - Phone
- (309) 268-3502
- Fax
- (309) 268-3713
- NPI assigned
- Feb 5, 2010
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 125.056268 | IL | Primary |
Addresses
Primary practice location
1300 Franklin Ave
Suite 110
Normal, IL 61761-3592
Mailing address
1300 Franklin Ave
Suite 110
Normal, IL 61761-3592
Phone (309) 268-3502
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 Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.056268 | IL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1265328000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1265328000000",
"number": "1982936662",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1300 FRANKLIN AVE",
"address_2": "SUITE 110",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613592",
"telephone_number": "309-268-3502",
"fax_number": "309-268-3713"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1300 FRANKLIN AVE",
"address_2": "SUITE 110",
"city": "NORMAL",
"state": "IL",
"postal_code": "617613592",
"telephone_number": "309-268-3502",
"fax_number": "309-268-3713"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEDDON",
"first_name": "CHRIS",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-02-05",
"last_updated": "2010-02-05",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "IL",
"license": "125.056268",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Normal, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.