Basic Information
| Provider Information | |||||||||
| NPI: | 1225542806 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | JOHN E. HEESS M.D. INC. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 3200 21ST ST STE 301 | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933013108 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613240300 | ||||||||
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| Practice Location | |||||||||
| Address1: | 2400 BAHAMAS DR STE 100 | ||||||||
| Address2: | |||||||||
| City: | BAKERSFIELD | ||||||||
| State: | CA | ||||||||
| PostalCode: | 933090746 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6613282333 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 11/19/2017 | ||||||||
| LastUpdateDate: | 11/19/2017 | ||||||||
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| AuthorizedOfficialLastName: | HEESS | ||||||||
| AuthorizedOfficialFirstName: | JOHN | ||||||||
| AuthorizedOfficialMiddleName: | ERIC | ||||||||
| AuthorizedOfficialTitleorPosition: | ANESTHESIOLOGIST | ||||||||
| AuthorizedOfficialTelephone: | 8054581768 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| AuthorizedOfficialNamePrefix: | DR. | ||||||||
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| AuthorizedOfficialCredential: | M.D. | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207L00000X | A60636 | CA | Y | 193400000X SINGLE SPECIALTY GROUP | Allopathic & Osteopathic Physicians | Anesthesiology |
No ID Information.