Provider Demographics
NPI:1366471260
Name:HECHING, NORMAN I (MD)
Entity Type:Individual
Prefix:
First Name:NORMAN
Middle Name:I
Last Name:HECHING
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:100 N HUMPHREYS BLVD
Mailing Address - Street 2:
Mailing Address - City:MEMPHIS
Mailing Address - State:TN
Mailing Address - Zip Code:38120-2146
Mailing Address - Country:US
Mailing Address - Phone:901-322-9080
Mailing Address - Fax:901-322-9097
Practice Address - Street 1:100 N HUMPHREYS BLVD
Practice Address - Street 2:
Practice Address - City:MEMPHIS
Practice Address - State:TN
Practice Address - Zip Code:38120-2146
Practice Address - Country:US
Practice Address - Phone:901-322-9080
Practice Address - Fax:901-322-9097
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2024-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MS19539207RH0003X
WI71338207RH0003X
TN32237207RH0003X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RH0003XAllopathic & Osteopathic PhysiciansInternal MedicineHematology & Oncology
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN4129839OtherBCBS TN
7178697OtherAETNA
TN3337831Medicaid
MO206256406Medicaid
AR83976OtherBCBS AR
AR160531001Medicaid
WI100089768Medicaid
MS06709061Medicaid
MSP00380887Medicare PIN