MEDICARE: MICHAEL HELLER MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208000000X	Pediatrics Physician	201101510	NC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	1930	OTHER	NC	HEALTHNET FEDERAL SERVICES / TRICARE
3	238027	OTHER	NC	MEDCOST LLC
4	2720287	OTHER	NC	UNITED HEALTHCARE
5	1653R	OTHER	NC	BCBS OF NC
6	7696903	OTHER	NC	AETNA

General Provider Information

NPI Number	:	1285701466
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL HELLER MD

Provider Business Mailing Address
First Line	:	PO BOX 647
Second Line	:
City	:	HOPE MILLS
State	:	NC
Zip	:	28348-0647
Country	:	US
Telephone Number	:	910-483-7337
Fax Number	:	910-483-0648

Provider Business Practice Location Address
First Line	:	55 MEDICAL PARK DR
Second Line	:	SUITE 114
City	:	FRANKLIN
State	:	NC
Zip	:	28734-2651
Country	:	US
Telephone Number	:	828-524-7337
Fax Number	:	828-369-4241

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	11/20/2013

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Directions to “ MICHAEL HELLER MD” Practice Location

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