Provider Demographics
NPI:1184706475
Name:HEESS, JOHN E (MD)
Entity type:Individual
Prefix:DR
First Name:JOHN
Middle Name:E
Last Name:HEESS
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:PO BOX 2287
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93303-2287
Mailing Address - Country:US
Mailing Address - Phone:661-334-1958
Mailing Address - Fax:661-324-4095
Practice Address - Street 1:1100 LAS TABLAS RD
Practice Address - Street 2:
Practice Address - City:TEMPLETON
Practice Address - State:CA
Practice Address - Zip Code:93465-9704
Practice Address - Country:US
Practice Address - Phone:805-434-3500
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-19
Last Update Date:2010-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAA60636207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ21367ZOtherEMPIRE SURGERY CENTER
CAZZZ15998ZOtherMERCY SW HOSPITAL
CAP00397229OtherINDIVIDUAL RAILROAD
CACD4582OtherGROUP RAILROAD
CAZZZ15999ZOtherMEMORIAL HOSPITAL
CAZZZ21365ZOtherPPSC
CA00A606360Medicaid
CAZZZ21366ZOtherSWSC
CAZZZ34009ZOtherMERCY HOSPITAL
CAZZZ21367ZOtherEMPIRE SURGERY CENTER
CA00A606363Medicare PIN
CAZZZ15998ZOtherMERCY SW HOSPITAL
CAG69978Medicare UPIN
CAAP212YMedicare PIN
CA00A606364Medicare PIN
CAZZZ21366ZOtherSWSC
CAZZZ34009ZOtherMERCY HOSPITAL