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Deactivated NPI 1407849003 Deactivated / Inactive NPI Male Practitioner

Dr. Jay Carl Heitsman , MD

Pediatrics • Fairfield, IA

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Notice of NPI Deactivation & Inactive Practice Status

According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jay Heitsman has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date August 30, 2005
NPI Deactivation Date May 17, 2018
Total Practice Duration ~13 Years of Practice (2005 – 2018)

Professional Overview & Biography Verified Profile Summary

Dr. Jay Heitsman, MD was a registered Pediatrics practicing in Fairfield, IA. Throughout an active medical career spanning 13 years, Dr. Heitsman provided care at the practice location at 2000B S MAIN ST until profile deactivation on 2018-05-17.

Practice Location & Contact Primary Location

Practice Address

2000b S Main St

Fairfield, IA 525569572

Telephone 6414724156
Fax 6414729436
Associated Practice Facility / Clinic
🏢 Jefferson County Hospital Facility NPI 1457728008

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Fairfield, IA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 19.9 Yrs
Regional Practice Density
1 Specialists

Practicing in Fairfield, IA (522 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License IA 21674

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

12 Associated Practitioners
Dr. Terry Cochran , MD

Family Medicine

NPI 1053326496

Doctor of Medicine (M.D.)

NPI 1124133640

Doctor of Medicine (M.D.)

Dr. Donal Hill , DO

Family Medicine

NPI 1265547053

Doctor of Osteopathic Medicine (D.O.)

Dr. Gloria Lafollette , RN, DNP, FNP-C

Nurse Practitioner - Family

NPI 1265960884

Registered Nurse, Doctor of Nursing Practice, Family Nurse Practitioner (Certified)

Michael Schleicher , ARNP

Nurse Practitioner

NPI 1285984724

Advanced Registered Nurse Practitioner

Brenda Halls , ARNP

Nurse Practitioner

NPI 1336177468

Advanced Registered Nurse Practitioner

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated May 17, 2018

Record deactivated on May 17, 2018

NPI Profile Active January 23, 2012

NPI status registered as active in NPPES database

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Updated Practice Location January 23, 2012

Registered at 2000B S MAIN ST, FAIRFIELD, IA 525569572 (Tel: 6414724156)

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Updated Business Mailing Address January 23, 2012

Registered at 2000B S MAIN ST, FAIRFIELD, IA 525569572 (Tel: 6414724156)

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Provider Name / Credentials Updated January 23, 2012

Recorded as JAY HEITSMAN, MD

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Medical Taxonomy / Specialty Registered (Primary Specialty) January 23, 2012

Pediatrics (License #21674 in IA)

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Initial NPI Registration & Enumeration August 30, 2005

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1407849003
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2005
Last Update: January 23, 2012
Deactivation Date: May 17, 2018

Mailing Address

2000b S Main St

Fairfield, IA 525569572

Phone: 6414724156

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.