JAMES HEID MD
Complete NPI Record 1336165919
Family Medicine in Vancouver, WA
NPI Status: Active since July 15, 2006
Contact Information
2525 NE 139TH ST STE 260
VANCOUVER, WA
ZIP 98686
Phone: (360) 735-8100
Fax: (360) 735-3400
- NPI
- Entity Type Code
- Provider Last Name Legal Name
- Provider First Name
- Provider Credential Text
- Provider First Line Business Mailing Address
- Provider Business Mailing Address City Name
- Provider Business Mailing Address State Name
- Provider Business Mailing Address Postal Code
- Provider Business Mailing Address Country Code If outside U S
- Provider First Line Business Practice Location Address
- Provider Business Practice Location Address City Name
- Provider Business Practice Location Address State Name
- Provider Business Practice Location Address Postal Code
- Provider Business Practice Location Address Country Code If outside U S
- Provider Business Practice Location Address Telephone Number
- Provider Business Practice Location Address Fax Number
- Provider Enumeration Date
- Last Update Date
- Provider Gender Code
- Healthcare Provider Taxonomy Code 1
- Provider License Number 1
- Provider License Number State Code 1
- Healthcare Provider Primary Taxonomy Switch 1
- Other Provider Identifier 1
- Other Provider Identifier Type Code 1
- Other Provider Identifier State 1
- Is Sole Proprietor
Complete NPI Dataset
This page represents the complete record for NPI 1336165919. You can access the complete dataset, including a full list of field names, along with their values, and definitions as recorded by the NPI registry. Each field in the NPI record is explained, highlighting its significance and the possible values it can hold.
- NPI: 1336165919
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Entity Type Code: 1
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Last Name Legal Name: HEID
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider First Name: JAMES
- The first name of the provider, if the provider is an individual.
- Provider Credential Text: MD
- The 10-position all-numeric identification number assigned by the NPS to uniquely identify a health care provider. The NPI number includes an ISO standard check-digit in the 10th position. There is no intelligence about the health care provider in the number.
- Provider First Line Business Mailing Address: 2525 NE 139TH ST STE 260
- Code describing the type of health care provider that is being assigned an NPI. Codes are 1 = (Person): individual human being who furnishes health care; 2 = (Non-person): entity other than an individual human being that furnishes health care (for example, hospital, SNF, hospital subunit, pharmacy, or HMO).
- Provider Business Mailing Address City Name: VANCOUVER
- The last name of the provider. If the provider is an individual, this is the legal name.
- Provider Business Mailing Address State Name: WA
- The first name of the provider, if the provider is an individual.
- Provider Business Mailing Address Postal Code: 986862719
- The first line mailing address of the provider being identified. This data element may contain the same information as "Provider first line location address".
- Provider Business Mailing Address Country Code If outside U S : US
- The second line mailing address of the provider being identified. This data element may contain the same information as "Provider second line location address".
- Provider First Line Business Practice Location Address: 2525 NE 139TH ST STE 260
- The city name in the mailing address of the provider being identified.
- Provider Business Practice Location Address City Name: VANCOUVER
- The State or Province name in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address State name".
- Provider Business Practice Location Address State Name: WA
- The postal ZIP or zone code in the mailing address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available. This data element may contain the same information as "Provider location address postal code".
- Provider Business Practice Location Address Postal Code: 986862719
- The country code in the mailing address of the provider being identified. This data element may contain the same information as "Provider location address country code".
- Provider Business Practice Location Address Country Code If outside U S : US
- The telephone number associated with mailing address of the provider being identified. This data element may contain the same information as "Provider location address telephone number".
- Provider Business Practice Location Address Telephone Number: 3607358100
- The fax number associated with the mailing address of the provider being identified. This data element may contain the same information as "Provider location address fax number".
- Provider Business Practice Location Address Fax Number: 3607353400
- The first line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Provider Enumeration Date: 7/15/2006
- The second line location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.
- Last Update Date: 2/4/2022
- The city name in the location address of the provider being identified.
- Provider Gender Code: M
- The State code in the location of the provider being identified.
- Healthcare Provider Taxonomy Code 1: 207Q00000X
- The postal ZIP or zone code in the location address of the provider being identified. NOTE: ZIP code plus 4-digit extension, if available.
- Provider License Number 1: MD00039160
- The country code in the location address of the provider being identified.
- Provider License Number State Code 1: WA
- The telephone number associated with the location address of the provider being identified.
- Healthcare Provider Primary Taxonomy Switch 1: Y
- The fax number associated with the location address of the provider being identified.
- Other Provider Identifier 1: 8265241
- The date the provider was assigned a unique identifier (assigned an NPI).
- Other Provider Identifier Type Code 1: 05
- The date that a record was last updated or changed.
- Other Provider Identifier State 1: WA
- The two-letter state code representing the U.S. state or territory that issued the additional provider identifier. This links the Other Provider Identifier to the state where it is valid or was assigned.
- Is Sole Proprietor: N
- Indicates whether the provider is registered as a sole proprietor. This is a single-character code: "Y" means the provider operates as a sole proprietor, and "N" means they do not.