John Heinzerling (NPI# 1306045752, PAC ID# 6709042823) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is RADIATION ONCOLOGY.
| Nation Provider ID (NPI) | 1306045752 |
| PAC ID by PECOS | 6709042823 |
| Professional Enrollment ID | I20120718000207 |
| Full Name | John Heinzerling |
| Organization Legal Name | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Address |
600 Hospital Dr Monroe NC 28112-6000 |
| Phone Number | 7043337376 |
| Gender | M |
| Medical School | UNIVERSITY OF TEXAS SOUTHWESTERN MEDICAL SCHOOL AT DALLAS |
| Graduation Year | 2007 |
| Primary Specialty | RADIATION ONCOLOGY |
| Group Practice PAC ID | 1254233950 |
| Number of Group Practice Members | 37 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 340001 | CAROLINAS MEDICAL CENTER-NORTHEAST |
| 340113 | CAROLINAS MEDICAL CENTER/BEHAV HEALTH |
| 340119 | STANLY REGIONAL MEDICAL CENTER |
| 340166 | CAROLINAS MED CTR-UNIVERSITY |
| Address | Phone | Organization |
|---|---|---|
| 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| 600 Hospital Dr, Monroe, NC 28112-6000 | 7043337376 | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| 170 Medical Park Rd, Suite 100, Mooresville, NC 28117-8541 | 7042352580 | RADIATION ONCOLOGY CENTERS OF THE CAROLINAS, INC. |
| Organization Legal Name | SOUTHEAST RADIATION ONCOLOGY GROUP, P.A. |
| Physicians | 38 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Matthew Christopher Ward | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Gregory C Mitro | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 229 Mocksville Ave, Salisbury, NC 28144-3325 |
| Dean A Gant | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Linda R Coverdale | Physician Assistant | Southeast Radiation Oncology Group, P.a. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Amanda N Cromer | Nurse Practitioner | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Courtney J Smith | Physician Assistant | Southeast Radiation Oncology Group, P.a. | 200 Hawthorne Ln, Charlotte, NC 28204-2515 |
| Gregory L Jones | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Bradley T Mccall | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 229 Mocksville Ave, Salisbury, NC 28144-3325 |
| Jerome M Butler Jr. | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Lauren T Jones | Physician Assistant | Southeast Radiation Oncology Group, P.a. | 200 Queens Rd, Suite 400, Charlotte, NC 28204-3264 |
| Street Address |
600 HOSPITAL DR |
| City | MONROE |
| State | NC |
| Zip | 28112-6000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer P Jackson | Nurse Practitioner | Inpatient Consultants of North Carolina PC | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Kelly J Phillips | Physician Assistant | Carolinas Physicians Network Inc | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Heather L Lackey | Nurse Practitioner | Inpatient Consultants of North Carolina PC | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Dean A Gant | Radiation Oncology | Southeast Radiation Oncology Group, P.a. | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Kevin R Clark | Emergency Medicine | Inpatient Consultants of North Carolina PC | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Srinivasan Adayapalam | Anesthesiology | Chs Anesthesia Services Group Inc | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Michael D Culler | Physician Assistant | Inpatient Consultants of North Carolina PC | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Tyler D Allen | Physician Assistant | Inpatient Consultants of North Carolina PC | 600 Hospital Dr, Monroe, NC 28112-6000 |
| Scott D Skibo | Pulmonary Disease | Dlp Western Carolina Physician Practices LLC | 600 Hospital Dr, Suite 9, Clyde, NC 28721-8046 |
| Barton R Paschal | Hematology/oncology | Fletcher Hospital Inc | 600 Hospital Dr, 10b, Clyde, NC 28721-8024 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Debra Myhr | Physical Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| John B Meade | Orthopedic Surgery | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Tanya M Crooks | Occupational Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Konrad L Sekula | Physical Therapy | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Adam W Fosnaugh | Orthopedic Surgery | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| Marcus S Briones | Orthopedic Surgery | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| David Thomas Anderson | Orthopedic Surgery | Orthocarolina, Pa | 703 Comfort Lane, Monroe, NC 28112 |
| John Aycock | Optometry | 808 Circle Dr, Monroe, NC 28112-3800 | |
| Melissa Ann Benson | Nurse Practitioner | The Presbyterian Hospital | 1640 E Roosevelt Blvd, Monroe, NC 28112-4017 |
| Scott Leonard Jaben | Ophthalmology | Charlotte Eye Ear Nose and Throat Associates Pa | 1632 E Roosevelt Blvd, Monroe, NC 28112-4017 |
| Find all physicians in zip 28112 | |||
| City | MONROE |
| Zip Code | 28112 |
| Specialty | RADIATION ONCOLOGY |
| City + Specialty | MONROE + RADIATION ONCOLOGY |
Please comment or provide details below to improve the information on John Heinzerling.
| 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.