Darell Heiselman
Internist Critical Care Medicine
1761 Beall Ave
Wooster
, Ohio 44691-2342
Darell Heiselman
Internist Critical Care Medicine
1761 Beall Ave
Wooster
, Ohio 44691-2342
(330) 263-8190
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About
Features
Specialties
- Internist
- Critical Care Medicine
Languages spoken
- English
Location
First Address
- Darell Heiselman
- 1761 Beall Ave
- Wooster, OH
- Zip : 44691-2342
- Fax : (330) 263-8190
- Phone : (330) 263-8428
Second Address
- Darell Heiselman
- 1761 Beall Ave
- Wooster, OH
- Zip : 44691-2342
- Fax : (330) 263-8190
- Phone : (330) 263-8428
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207R00000X | Internist | 34002960 | OH |
| Y | 111NI0900X | Internist | 34002960 | OH |
| N | 207RC0200X | Critical Care Medicine | 34002960 | OH |
National Provider Identifier
| NPI | 1043260359 |
|---|---|
| Provider Name | Darell Heiselman |
| First Address | Wooster, OH 44691-2342 |
| Second Address | Wooster, OH 44691-2342 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 10/05/2006 |
| Last Update Date | 05/09/2012 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 0451005 | (05) | OH |
| A79833 | (02) |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.