Provider Demographics
NPI:1649298050
Name:HEIN, JOHN B (MD)
Entity type:Individual
Prefix:
First Name:JOHN
Middle Name:B
Last Name:HEIN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:260 MERRIMAC ST
Mailing Address - Street 2:
Mailing Address - City:NEWBURYPORT
Mailing Address - State:MA
Mailing Address - Zip Code:01950-2192
Mailing Address - Country:US
Mailing Address - Phone:978-499-7400
Mailing Address - Fax:978-499-7488
Practice Address - Street 1:260 MERRIMAC ST
Practice Address - Street 2:
Practice Address - City:NEWBURYPORT
Practice Address - State:MA
Practice Address - Zip Code:01950-2192
Practice Address - Country:US
Practice Address - Phone:978-499-7400
Practice Address - Fax:978-499-7488
Is Sole Proprietor?:No
Enumeration Date:2006-07-17
Last Update Date:2011-05-27
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA234680207RA0201X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RA0201XAllopathic & Osteopathic PhysiciansInternal MedicineAllergy & Immunology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA110079116AMedicaid
MAAA114498OtherHPHC
MA1649298050OtherAETNA
MA1649298050OtherPHCS
MA95442501OtherNETWORK HEALTH
MAJ42770OtherBCBS
MA1649298050OtherANTHEM
MA1649298050OtherBOSTON MEDICAL CENTER HEALTH PLAN
MA1649298050OtherUNITED HEALTHCARE
NH30207664Medicaid
MA497152OtherTUFTS
MA0044381OtherNEIGHBORHOOD HEALTH PLAN
MA0286562OtherCIGNA
MA1649298050OtherAETNA
MA0286562OtherCIGNA