Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Craig William Heise Jr., MD

Individual provider Medical Toxicology (Emergency Medicine) Physician · NPI 1629398912

Craig William Heise Jr., MD is a Family Practice in Phoenix, Arizona. Graduated from University of Iowa, Rj & L Carver College of Medicine in 2010, 16 years ago. Practices with Banner - University Physician Specialists LLC, a 347-clinician group and accepts Medicare assignment. Licensed in Arizona, Florida, Oregon and Texas.

Years since qualifying
16
Trained at
University of Iowa, Rj & L Carver College of Medicine
Licensed in
AZ, FL, OR, TX
In the registry since
2010
Specialties on file
9
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1300 N 12th St Ste 605
Phoenix, AZ 85006-2848
Phone: (602) 839-2668
Fax: (602) 839-2067
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Medicine Physician (primary) Taxonomy 207Q00000X · Licence 45475 (AZ)
Medical Toxicology (Emergency Medicine) Physician Taxonomy 207PT0002X · Licence 45475 (AZ)
Medical Toxicology (Emergency Medicine) Physician Taxonomy 207PT0002X · Licence MD221429 (OR)
Medical Toxicology (Emergency Medicine) Physician Taxonomy 207PT0002X · Licence U9545 (TX)
Medical Toxicology (Emergency Medicine) Physician Taxonomy 207PT0002X · Licence ME165028 (FL)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence MD221429 (OR)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence 45475 (AZ)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence ME165028 (FL)
Addiction Medicine (Preventive Medicine) Physician Taxonomy 2083A0300X · Licence U9545 (TX)

Record details

NPI number1629398912
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedJune 9, 2010
Last updated in NPPESAugust 2, 2024
Certification dateAugust 2, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyFAMILY PRACTICE
Also practisesMEDICAL TOXICOLOGY
Medical schoolUNIVERSITY OF IOWA, RJ & L CARVER COLLEGE OF MEDICINE
Graduated 2010 (16 years in practice)
Group practice Banner - University Physician Specialists Llc — 347 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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