Randy R Heisser (NPI# 1689620999, PAC ID# 4284672965) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is EMERGENCY MEDICINE.
| Nation Provider ID (NPI) | 1689620999 |
| PAC ID by PECOS | 4284672965 |
| Professional Enrollment ID | I20050422000305 |
| Full Name | Randy R Heisser |
| Organization Legal Name | ORANGE GROVE CENTER INC |
| Address |
615 Derby St Chattanooga TN 37404-1632 |
| Phone Number | 4234932905 |
| Gender | M |
| Credential | MD |
| Graduation Year | 1991 |
| Primary Specialty | EMERGENCY MEDICINE |
| Group Practice PAC ID | 1850299124 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 6035 Shallowford Rd, Suite 101, Chattanooga, TN 37421-1688 | 4234990003 | CHATTANOOGA FAMILY AND SPORTS MEDICAL CENTER, PLLC |
| 615 Derby St, Chattanooga, TN 37404-1632 | 4234932905 | ORANGE GROVE CENTER INC |
| 1508 Tombras Ave, East Ridge, TN 37412-2720 | 4238674969 | YOUR GOOD HEALTH, LLC |
| 14 Fort Town Dr, Fort Oglethorpe, GA 30742-4051 | 7068664443 | YOUR GOOD HEALTH, LLC |
| Organization Legal Name | ORANGE GROVE CENTER INC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Stanfield | Nurse Practitioner | Orange Grove Center Inc | 615 Derby St, Chattanooga, TN 37404-1632 |
| Edward Wayne Fox | Nurse Practitioner | Orange Grove Center Inc | 615 Derby St, Chattanooga, TN 37404-1632 |
| Rachael Anne Maciver | Nurse Practitioner | Orange Grove Center Inc | 615 Derby St, Chattanooga, TN 37404-1632 |
| Sherry Ray | Nurse Practitioner | Orange Grove Center Inc | 615 Derby St, Chattanooga, TN 37404-1632 |
| Street Address |
615 DERBY ST |
| City | CHATTANOOGA |
| State | TN |
| Zip | 37404-1632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Heather Stanfield | Nurse Practitioner | Orange Grove Center Inc | 615 Derby St, Chattanooga, TN 37404-1632 |
| Edward Wayne Fox | Nurse Practitioner | Orange Grove Center Inc | 615 Derby St, Chattanooga, TN 37404-1632 |
| Rachael Anne Maciver | Nurse Practitioner | Orange Grove Center Inc | 615 Derby St, Chattanooga, TN 37404-1632 |
| Sherry Ray | Nurse Practitioner | Orange Grove Center Inc | 615 Derby St, Chattanooga, TN 37404-1632 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cindi L Cross | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Michael L Reeves | Endocrinology | 725 Glenwood Ave, Suite E 688, Chattanooga, TN 37404 | |
| Robert L Huang | Interventional Cardiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Gregg S Shander | Cardiac Electrophysiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Alan Arthur Simeone | Cardiac Surgery | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| William F Oellerich | Cardiovascular Disease (cardiology) | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Kelly Richardson | Cardiac Electrophysiology | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Gregory A Evans | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Ingrid M Fortuna | Nurse Practitioner | Memorial Health Care System Inc. | 2525 De Sales Ave, Suite F1009, Chattanooga, TN 37404 |
| Leonard J Hays Iii | Cardiovascular Disease (cardiology) | 2515 Desales Ave, Suite 204, Chattanooga, TN 37404-1100 | |
| Find all physicians in zip 37404 | |||
| City | CHATTANOOGA |
| Zip Code | 37404 |
| Specialty | EMERGENCY MEDICINE |
| City + Specialty | CHATTANOOGA + EMERGENCY MEDICINE |
Please comment or provide details below to improve the information on Randy R Heisser.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.