J. TIMOTHY HEFFERNAN M.D. – NPI #1093791121
Ophthalmology

A physician who specializes in oculofacial plastic and reconstructive surgery. This subspecialty combines orbital and periocular surgery with facial plastic surgery, and includes aesthetic and reconstructive surgery of the face, orbit, eyelid, and lacrimal system. Practitioners evaluate, diagnose and treat conditions involving the eyelids, brows, midface, orbits, lacrimal systems and surrounding and supporting structures of the face and neck.

J. HEFFERNAN is an ophthalmologist located in TACOMA, WA. NPPES has assigned the NPI number 1093791121 to J. HEFFERNAN on December 20, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. He is also known by his other name JOHN HEFFERNAN. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 207WX0200X from the Health Care Provider Taxonomy code set, which is classified as Ophthalmology, specializing in Ophthalmic Plastic and Reconstructive Surgery

The NPI profile was previously updated about 2 years ago on Jan 03, 2024. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for J. HEFFERNAN below.

NPI Profile for
JOHN T. HEFFERNAN

NPI Number
1093791121
Enumeration Date

(more than 20 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
JOHN T. HEFFERNAN
Professional Name: J. TIMOTHY HEFFERNAN
Credentials
M.D.
Primary location
502 S M ST
TACOMA, WA 98405-3728
Phone: (206) 212-2100 Fax: (206) 212-2194
1 Other location(s):
1101 Madison St
Suite 580
Seattle, WA 98104-1306
Phone: (206) 215-2052
Fax: (206) 215-2280
Mailing address
34719 6TH AVE S
FEDERAL WAY, WA 98003-8714
Phone: (206) 212-2100 Fax: (206) 212-2194
Sole Proprietor
No
Updated
Certification Date
Jan 03, 2024

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for J. HEFFERNAN

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
otherLABOR & INDUSTRIESWA0036104
otherRAILROAD MEDICARE180016727
otherREGENCE HEALTHCARE3862HE
medicaidWA1777200
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207WX0200X
- Ophthalmology / Ophthalmic Plastic and Reconstructive Surgery (Primary)
WA MD00016843
207W00000X
- Ophthalmology
WA MD00016843

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF WASHINGTON SCHOOL OF MEDICINE - Graduated 1977
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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