Provider Demographics
NPI:1821231572
Name:HEAPHY, JOHN
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:
Last Name:HEAPHY
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:VUMC DEPT OF OTO MED CTR EAST SOUTH TOWER
Mailing Address - Street 2:1215 21ST AVENUE SOUTH, SUITE 7209
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37232-8605
Mailing Address - Country:US
Mailing Address - Phone:615-322-6180
Mailing Address - Fax:615-343-9556
Practice Address - Street 1:VUMC DEPT OF OTO MED CTR EAST SOUTH TOWER
Practice Address - Street 2:1215 21ST AVENUE SOUTH, SUITE 7209
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37232-8605
Practice Address - Country:US
Practice Address - Phone:615-322-6180
Practice Address - Fax:615-343-9556
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-10
Last Update Date:2014-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN50948207Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Y00000XAllopathic & Osteopathic PhysiciansOtolaryngology