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DR. GLEN HEISE M.D.
NPI 1972596955
Family Medicine in Harrisburg, PA

Active since August 25, 2005
2 S 21ST ST, HARRISBURG, PA 17104(717) 238-1513 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Glen Heise M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. GLEN HEISE M.D. (NPI 1972596955) is an individual family medicine provider in Harrisburg, Pennsylvania, licensed in Pennsylvania (MD029515E) and active in the NPI registry since August 2005.

NPPES Registry Identity

NPI1972596955
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GLEN HEISECredential: M.D.
Location Address2 S 21ST STHarrisburg, PA 17104-1314
Mailing Address2 S 21st StHarrisburg, PA 17104-1314 · (717) 238-1513
Phone(717) 238-1513
Sole ProprietorYes
Enumeration DateAugust 25, 2005
Last NPPES UpdateJuly 8, 2007
✔ NPI 1972596955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in PA · MD029515E
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2 S 21ST ST, Harrisburg, PA 17104
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Other Identifiers 2

Medicare ID-Type Unspecified417726PA
Medicare UPINE11650PA

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Glen Heise's NPI number?

The NPI number for Glen Heise is 1972596955. It was assigned to this individual provider in the NPPES registry on August 25, 2005.

Where is Glen Heise located?

Glen Heise practices at 2 S 21st St, Harrisburg, PA 17104. The listed phone number is (717) 238-1513.

What is Glen Heise's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Glen Heise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.