Provider Demographics
NPI:1144276965
Name:HECK, DONALD V (MD)
Entity type:Individual
Prefix:DR
First Name:DONALD
Middle Name:V
Last Name:HECK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:3010 TRENWEST DR
Mailing Address - Street 2:
Mailing Address - City:WINSTON SALEM
Mailing Address - State:NC
Mailing Address - Zip Code:27103-3208
Mailing Address - Country:US
Mailing Address - Phone:336-970-5300
Mailing Address - Fax:336-970-5298
Practice Address - Street 1:1900 S HAWTHORNE RD
Practice Address - Street 2:
Practice Address - City:WINSTON SALEM
Practice Address - State:NC
Practice Address - Zip Code:27103-3913
Practice Address - Country:US
Practice Address - Phone:336-970-5300
Practice Address - Fax:336-659-2379
Is Sole Proprietor?:No
Enumeration Date:2006-05-25
Last Update Date:2016-09-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NC2002010962085R0202X, 2085R0204X, 2085N0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89132UGMedicaid
NC2007683FMedicare PIN
NC2007683CMedicare PIN
NC2007683GMedicare PIN
G52916Medicare UPIN
NC2007683DMedicare PIN
NC2007683Medicare PIN
NC2007683EMedicare PIN