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

Marvin N. Heyboer III, MD

Individual provider Emergency Medicine Physician · NPI 1720195407

Marvin N. Heyboer III, MD is an Undersea and Hyperbaric Medicine in Syracuse, New York. Graduated from Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University in 2000, 26 years ago. Practices with Upstate Emergency Medicine, Inc, a 54-clinician group and accepts Medicare assignment. Licensed in California and New York.

Years since qualifying
26
Trained at
Clvlnd Clinic Lerner College of Med of Case Wstn Rsv University
Licensed in
CA, NY
In the registry since
2006
Specialties on file
3
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

750 E Adams St
Syracuse, NY 13210-2342
Phone: (315) 464-4863
Fax: (315) 464-8690
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Specialties & licences

Undersea and Hyperbaric Medicine (Emergency Medicine) Physician (primary) Taxonomy 207PE0005X · Licence 255162 (NY)
Emergency Medicine Physician Taxonomy 207P00000X · Licence A82212 (CA)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 255162 (NY)

Record details

NPI number1720195407
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedAugust 25, 2006
Last updated in NPPESMay 11, 2010

Medicare enrollment

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

Medicare specialtyUNDERSEA AND HYPERBARIC MEDICINE
Also practisesEMERGENCY MEDICINE
Medical schoolCLVLND CLINIC LERNER COLLEGE OF MED OF CASE WSTN RSV UNIVERSITY
Graduated 2000 (26 years in practice)
Group practice Upstate Emergency Medicine, Inc — 54 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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