Provider Demographics
NPI:1689657355
Name:HEYL, PETER SPENCER (MD)
Entity Type:Individual
Prefix:DR
First Name:PETER
Middle Name:SPENCER
Last Name:HEYL
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 HITCHCOCK WAY
Mailing Address - Street 2:OB/GYN
Mailing Address - City:MANCHESTER
Mailing Address - State:NH
Mailing Address - Zip Code:03104-4125
Mailing Address - Country:US
Mailing Address - Phone:603-695-2500
Mailing Address - Fax:
Practice Address - Street 1:5 WASHINGTON PL
Practice Address - Street 2:3RD FLOOR
Practice Address - City:BEDFORD
Practice Address - State:NH
Practice Address - Zip Code:03110-6736
Practice Address - Country:US
Practice Address - Phone:603-695-2500
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-11-27
Last Update Date:2014-03-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0101036041207VM0101X
NH16513207VM0101X
NHLT-3362207VM0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207VM0101XAllopathic & Osteopathic PhysiciansObstetrics & GynecologyMaternal & Fetal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA227485OtherUHC/MAMSI
VAPAROtherCIGNA
VA006280056Medicaid
NC0554YOtherNC BC BS
VA14053OtherSENTARA OPTIMA
NC890554YMedicaid
VA093663OtherANTHEM BC BS
VAPAROtherUSA MANAGED CARE
VAPAROtherVIRGINIA HEALTH NETWORK
VA344433OtherANTHEM - 601 COLLEY AVE
VAPAROtherAETNA
VAPAROtherCORVEL/CORCARE
VAPAROtherFIRST HEALTH COMMERCIAL/SOUTHERN HEALTH/COVENTRY
VAPAROtherVIRGINIA PREMIER HEALTH
VAPAROtherTRICARE/CHAMPUS
VAPAROtherMULTIPLAN
VAPAROtherCIGNA
VAPAROtherCORVEL/CORCARE
VA14053OtherSENTARA OPTIMA