Healthcare Provider Details

I. General information

NPI: 1336141621
Provider Name (Legal Business Name): MICHAEL S. HELLER M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/01/2005
Last Update Date: 06/19/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20 MEDICAL PARK DR SUITE B
ASHEVILLE NC
28803
US

IV. Provider business mailing address

PO BOX 1869
FLETCHER NC
28732-1869
US

V. Phone/Fax

Practice location:
  • Phone: 828-254-8232
  • Fax: 828-253-4470
Mailing address:
  • Phone: 828-687-5698
  • Fax: 828-650-8081

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RH0003X
TaxonomyHematology & Oncology Physician
License Number38973
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: