JOSEPH DIETRICH HEYNE


Address: 1250 8th Avenue, Suite 120, Fort Worth, TX 76104-4156
Phone: 8179236900

JOSEPH DIETRICH HEYNE (NPI# 1710146568) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1710146568
Entity Type Individual
Full Name JOSEPH DIETRICH HEYNE
Credential MD
Practice Address 1250 8th Avenue
Suite 120
Fort Worth
TX 76104-4156
Mailing Address Po Box 961205
Fort Worth
TX 76161-1205
Practice Telephone 8179236900
Practice Fax Number 8179236903
Mailing Telephone 8177408400
Mailing Fax Number 8172505485
Enumeration Date 2008-06-06
Last Update Date 2011-09-30
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208600000X Surgery M9354 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX 204023001 05
TX MEDICAID CSHCN 204023002 01
TX RAILROAD P00945947 01

Office Location

Street Address 1250 8TH AVENUE
SUITE 120
City FORT WORTH
State TX
Zip Code 76104-4156

Providers in the same location

NPI Name Taxonomy Address Enumeration
1811944838 Lori Ann Farneti Advanced Practice Midwife 1250 8th Avenue, Suite 320, Fort Worth, TX 76104-4139 2006-05-27
1578620928 Texas Health Care, P.l.l.c. Obstetrics & Gynecology 1250 8th Avenue, Suite 440, Fort Worth, TX 76104-4144 2007-01-03
1386700714 Texas Health Care, P.l.l.c. Obstetrics & Gynecology 1250 8th Avenue, Suite 330, Fort Worth, TX 76104-4148 2006-12-29
1457417818 Texas Health Care, P.l.l.c. Obstetrics & Gynecology 1250 8th Avenue, Suite 435, Fort Worth, TX 76104-4144 2006-12-29
1891851283 Texas Health Care, P.l.l.c. Obstetrics & Gynecology 1250 8th Avenue, Suite 445, Fort Worth, TX 76104-4144 2006-12-29
1861558298 Texas Health Care, P.l.l.c. Obstetrics & Gynecology 1250 8th Avenue, Suite 430, Fort Worth, TX 76104-4144 2006-12-29
1255347209 Mickey L Hooper Obstetrics & Gynecology 1250 8th Avenue, Suite 435, Fort Worth, TX 76104-4144 2006-07-31
1245258870 Quest Diagnostics Clinical Laboratories Inc. Clinical Medical Laboratory 1250 8th Avenue, Suite 115, Fort Worth, TX 76104-4424 2006-07-18
1790702306 Elizabeth A Tracey Weaver Nurse Practitioner 1250 8th Avenue, Suite 330, Fort Worth, TX 76104 2006-07-17
1629095245 Lee A Wynne Nurse Practitioner 1250 8th Avenue, Suite 430, Fort Worth, TX 76104-2158 2006-07-17
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1669082186 Cvs Pharmacy, Inc. Durable Medical Equipment & Medical Supplies 1115 8th St, Fort Worth, TX 76104 2020-08-10
1992343693 Iris Giove Psychologist John Peter Smith Hospital, 1500 S. Main St., Fort Worth, TX 76104 2019-12-13
1104480656 Swarnalaxmi Umapathy Student in an Organized Health Care Education/Training Program 900 8th Avenue, Fort Worth, TX 76104 2019-04-30
1881189132 Mega Surgical Assistants LLC Specialist/Technologist, Other 1301pennsylvania, Fort Worth, TX 76104 2018-06-28
1356848899 Tricia Kelly Nurse Practitioner 1325 Pennsylvania Avenue Suite 560, Fort Worth, TX 76104 2018-04-11
1952820979 Modern Vein Clinic Internal Medicine 757 8th Avenue, Suite A, Forth Worth, TX 76104 2017-09-11
1790207165 Vanessa Abbood Dietitian, Registered 900 Eighth Ave, Fns Department, Fort Worth, TX 76104 2017-07-07
1922537562 Nicole Marie Tod Student in an Organized Health Care Education/Training Program 1500 S Main Street, Fort Worth, TX 76104 2017-06-07
1770025934 Micah Bonola Chiropractor 1300 W. Rosedale St, Ste. A, Fort Worth, TX 76104 2016-11-04
1518315894 United Bioscience, LLC. Clinical Medical Laboratory 901 W. Leuda St., B, Fort Worth, TX 76104 2016-05-27
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Taxonomy Information

Taxonomy Code 208600000X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery

Taxonomy Definition

A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery.
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 Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1093273781 Southwest Vascular P.C. Surgery 4375 Booth Callaway Suite 501, Fort Worth, TX 76180 2019-03-12
1689102022 Kanayochukwu J. Anya Md Facs, Pllc Surgery 6100 Harris Pkwy Ste 380, Fort Worth, TX 76132-4128 2017-05-30
1093114530 Patel Surgical Pllc Surgery 909 9th Ave Ste 208, Fort Worth, TX 76104-3931 2014-08-21
1689918948 Texas Health Care, P.l.l.c. Surgery 6100 Harris Pkwy Ste 270, Fort Worth, TX 76132-4132 2012-11-26
1639447832 Henry V Birdwell Jr. Surgery 4204 Lakewood Dr, Fort Worth, TX 76135-2704 2011-12-02
1669628780 Fort Worth Clinic Specialty Care, Pllc Surgery 212 Cattlebaron Park Dr, Fort Worth, TX 76108-9512 2008-08-08
1265694731 Balaguru Kolandavelo Sambandam Surgery 3025 N Tarrant Pkwy Ste 100, Fort Worth, TX 76177-8625 2008-06-26
1427252378 Arsalla Islam Surgery 4312 Heritage Trace Pkwy, Ste 704, Fort Worth, TX 76244-9132 2007-06-13
1750590485 John Landis Birbari Jr. Surgery 1325 Pennsylvania Avenue, Suite 720, Fort Worth, TX 76104-2144 2007-05-21
1427267145 Paul Edward Gray Jr. Surgery 1325 Pennsylvania Ave., Suite 720, Fort Worth, TX 76104-2144 2007-05-21
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City FORT WORTH
Zip Code 76104

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Dataset Information

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.

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