DR. LARRY L HECK (NPI# 1073912440) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073912440 |
| Entity Type | Individual |
| Full Name | DR. LARRY L HECK |
| Credential | M.D. |
| Practice Address |
47 Hickory Ridge Cir Cicero IN 46034-9737 |
| Practice Telephone | 3176795904 |
| Mailing Telephone | 3176795904 |
| Enumeration Date | 2014-08-21 |
| Last Update Date | 2014-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085N0904X |
Radiology Specialization: Nuclear Radiology |
01024699A | IN | Allopathic & Osteopathic Physicians |
| N | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
01024699A | IN | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124477260 | Larry Heck | Specialist/Technologist | 1241 E Main St, Stamford, CT 06902-3520 | 2016-06-09 |
| Street Address |
47 HICKORY RIDGE CIR |
| City | CICERO |
| State | IN |
| Zip Code | 46034-9737 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548486905 | Mark R Montgomery | Dentist | 130 W Jackson St, Cicero, IN 46034 | 2007-04-17 |
| 1689710170 | Thomas Jerry Elliott Sr. | Dentist | 17 West Jackson St., Cicero, IN 46034 | 2007-01-30 |
| 1144285719 | Mary Angela Shirley | Social Worker | 209 S Peru St, Ste 210-211, Cicero, IN 46034 | 2006-04-18 |
| 1164486601 | Nancy Leah Shirley | Social Worker | 209 S Peru Street, Suite 210 211, Cicero, IN 46034 | 2006-04-13 |
| 1700867827 | Richard Edward Hayes | Family Medicine | 1160 S. Peru Street, S.r. 19, Cicero, IN 46034 | 2005-11-07 |
| 1306251897 | Jon Purkey | Specialist/Technologist | 230 Washington Avenue, Cicero, IN 46034-0321 | 2014-06-24 |
| 1477836070 | Myrtie B Mays | Specialist | 22345 Schulley Rd, Cicero, IN 46034-8800 | 2011-09-21 |
| 1609002724 | Hoosier Dentures & Dental Surgery, LLC | Clinic/Center | 1200 S Peru St, Cicero, IN 46034-9161 | 2009-06-03 |
| 1710549142 | Julie Baber | Technician | 1180 Coral Springs Dr, Cicero, IN 46034-9214 | 2019-07-05 |
| 1669592572 | Shelley Kunkel | Developmental Therapist | 1215 Coral Springs Dr, Cicero, IN 46034-9217 | 2007-04-02 |
| Find all providers in zip 46034 | ||||
| Taxonomy Code | 2085N0904X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Nuclear Radiology |
| A radiologist who is involved in the analysis and imaging of radionuclides and radiolabeled substances in vitro and in vivo for diagnosis and the administration of radionuclides and radiolabeled substances for the treatment of disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568417442 | Paul E Gandy | Radiology | 830 N Theatre Drive, Marion, IN 46952-1700 | 2006-05-23 |
| 1467776385 | Lil Family Inc | Radiology | 2401 W University Ave, Muncie, IN 47303-3428 | 2010-03-22 |
| 1750547493 | Rajiv Kumar | Radiology | 8701 Broadway, Merrillville, IN 46410-7035 | 2008-08-01 |
| 1992872634 | Suk S Lee M.d. Inc | Radiology | 1400 E 9th St, Rochester, IN 46975-8931 | 2006-11-29 |
| 1881779700 | Jonathan Wade Weiss | Radiology | 620 W Edison Rd, Suite 110, Mishawaka, IN 46545-2784 | 2006-10-26 |
| 1699705251 | Aslam R Siddiqui | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-07-03 |
| 1447286695 | Nufinity - Woodlawn, LLC | Radiology | 1400 E 9th St, Rochester, IN 46975-8931 | 2006-06-22 |
| 1720021694 | Steven Westphal | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1750324737 | Donald S Schauwecker | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
| 1699718098 | Gonzalo T Chua | Radiology | 1701 N Senate Blvd, Room 1204a, Indianapolis, IN 46202-1239 | 2006-06-14 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.