KEVIN T HEATON DO PC (NPI# 1073733671) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073733671 |
| Entity Type | Organization |
| Organization Name | KEVIN T HEATON DO PC |
| Practice Address |
2200 Bryant Williams Dr Suite 1 Klamath Falls OR 97601-1120 |
| Practice Telephone | 5418847746 |
| Practice Fax Number | 5418840848 |
| Mailing Telephone | 5418847746 |
| Mailing Fax Number | 5418840848 |
| Enumeration Date | 2007-04-26 |
| Last Update Date | 2017-11-14 |
| Authorized Official Name | JEANNETTE L GANSBERG (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 5412742902 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | DO22887 | OR | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | MEDICAL | XPY195175 | 01 |
| OR | BLUE CROSS | 831170000 | 01 |
| OR | DEA | BH5000156 | 01 |
| OR | TRICARE | 4604977397601 | 01 |
| OR | RAIL ROAD MEDICARE | DG2430 | 01 |
| OR | 287483 | 05 |
| Street Address |
2200 BRYANT WILLIAMS DR SUITE 1 |
| City | KLAMATH FALLS |
| State | OR |
| Zip Code | 97601-1120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821046962 | Anthony M Hamilton | Physician Assistant | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2006-05-04 |
| 1245784180 | John K Mccormick | Nurse Practitioner | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1121 | 2016-08-09 |
| 1902258080 | Gillian Bayley | Orthopaedic Surgery | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1121 | 2016-07-12 |
| 1700245339 | Andrew J Smith Dmd | Clinic/Center | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2016-02-10 |
| 1982000436 | Jared R Frost | Physician Assistant | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2014-11-11 |
| 1336420777 | Jason M Conaughty Md PC | Specialist | 2200 Bryant Williams Dr, Suite 1, Klamath Falls, OR 97601-1120 | 2011-08-30 |
| 1386931723 | Sky Lakes Medical Center Inc | General Practice | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2011-07-06 |
| 1619297587 | Andrew Jacob Smith | Dentist | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2010-06-02 |
| 1578727996 | David Joseph Russell | Surgery | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2008-07-15 |
| 1033373451 | David Joseph Russell Md PC | Surgery | 2200 Bryant Williams Dr, Klamath Falls, OR 97601-1120 | 2008-07-15 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205487311 | Socorro Guadalupe Alcala- Peres | Case Manager/Care Coordinator | 2210 N El Dorado Ave, Klamath Falls, OR 97601 | 2019-09-20 |
| 1033760053 | Melissa Ann Roy | Counselor | 2210 North El Dorado, 2210 North El Dorado, Klamath Falls, OR 97601 | 2019-09-20 |
| 1134699721 | Kristin Asta Ragnarsson | Speech-Language Pathologist | Plum Ridge Care 1401 Bryant Williams, Klamath Falls, OR 97601 | 2018-11-27 |
| 1730667445 | Nancy Leota Baley | Pharmacist | Sky Lakes Outpatient Pharmacy, 2865 Daggett Street, Klamath Falls, OR 97601 | 2018-08-03 |
| 1336511260 | Patricia Blauvelt | Occupational Therapy Assistant | 1401 Bryant Williams Dr, Klamath Falls, OR 97601 | 2015-10-30 |
| 1598160814 | Christopher S. Turner | Counselor | 635 Main St., Klamath Falls, OR 97601 | 2014-10-29 |
| 1134472582 | Whole Person Care Family Practice | Family Medicine | 2301 Mountainview Blvd. Ste B, Klamath Falls, OR 97601 | 2012-10-23 |
| 1255692687 | Billy Dean Vermaas | Physical Medicine & Rehabilitation | 204 N. 10th Street, Klamath Falls, OR 97601 | 2012-06-01 |
| 1407140700 | Wendell C Heidinger Md | Family Medicine | 2301 Clairmont Drive, Klamath Falls, OR 97601 | 2011-06-03 |
| 1740573146 | Klamath Youh Department Center | Community/Behavioral Health | 2210 Eldordo Ave, Klamath Falls, OR 97601 | 2011-05-18 |
| Find all providers in zip 97601 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760679708 | Vincent D Herr Md PC | Specialist | 7905 S 6th Street Unit B, Klamath Falls, OR 97603-7153 | 2007-10-03 |
| 1962612002 | Jason David Crane | Specialist | 1200 Pacific Ter, Klamath Falls, OR 97601-1831 | 2007-05-23 |
| 1043231210 | Steven R Shirts | Specialist | 1741 Austin St, Klamath Falls, OR 97603-4621 | 2006-07-22 |
| 1124066170 | Recovery Zone Physical Therapy, PC | Specialist | 2846 Eberlein Ave, Klamath Falls, OR 97603-4402 | 2006-06-03 |
| 1053387431 | Mark A Parra | Specialist | 2640 Biehn Street, Klamath Falls, OR 97601 | 2006-02-27 |
| 1104825827 | John H Hohengarten IIi | Specialist | 3000 Bryant Williams Drive, Ste 200, Klamath Falls, OR 97601 | 2005-07-14 |
| 1457354136 | Francesco D'alessandro | Specialist | 3000 Bryant Williams Dr Ste 100, Klamath Falls, OR 97601-1139 | 2005-05-24 |
| 1124473798 | Stillwater Spa & Wellness Center | Specialist | 1775 Washburn Way, Suite A, Klamath Falls, OR 97603-4304 | 2016-05-02 |
| 1821474685 | Alma Rosa Aguirre | Specialist | 121 Iowa St, Klamath Falls, OR 97601-1606 | 2015-08-04 |
| 1699173971 | Amanda Whitson | Specialist | 725 Washburn Way, Klamath Falls, OR 97603-3648 | 2014-12-18 |
| Find all providers in KLAMATH FALLS | ||||
| City | KLAMATH FALLS |
| Zip Code | 97601 |
Please comment or provide details below to improve the information on KEVIN T HEATON DO PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.