P Praxis·MD
● Active Type 1 · Individual

Jonathan Barry Heistein, M.D.

Plastic Surgery·Fort Worth, TX· NPI 1972590404 · Enumerated 2005 · 20 years on NPI
Heistein is 1 of 32 plastic surgery providers in Fort Worth and 1 of 618 in Texas.
NPI age
20 years
Enumerated 2005-09-30
Primary specialty
Plastic Surgery
Licensed in
TX
1 state
Status
Active
No deactivations on record
Last NPPES update
2007-07-08
Source: monthly bulk 2026-05
Sole proprietor
Yes
Solo practice on file

How this provider compares

Across 618 active plastic surgery providers in Texas.

NPI age
20 years
↑ 3 yr above median (17 yr)
State licenses
1 state
9% of peers hold multiple states
Subspecialties
0
24% of peers hold subspecialties

NPI lifetime · 2005 → 2026

2005-09Enumerated in NPPES
2005 2026

Where they practice

Practice location
800 8th Ave
Fort Worth, TX 761042619
📞 8178200000fax 8178200097
Mailing address
800 8th Ave, Suite 240
Fort Worth, TX 761042601
📞 8178200000fax 8178200097

Specialties

  • Plastic Surgery Primary
    A plastic surgeon deals with the repair, reconstruction or replacement of physical defects of form or function involving the skin, musculoskeletal system, craniomaxillofacial structures, hand, extremities, breast and trunk and external...
    TX license #L3330 taxonomy 208200000X

Identifiers

TypeValueNotes
01 (TX) 108590 AMERIGROUP
01 (TX) 7569341 AETNA
01 (TX) 0007JD BLUE CROSS/BLUE SHIELD
01 (TX) 158570718 PACIFICARE
01 (TX) 865822 USA MANAGED CARE
05 (TX) 150089401

Practice context

Part of a multi-provider practice. 36 other active providers share this practice address in NPPES.

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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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