DR. GLEN WAYNE HECKMAN (NPI# 1154309656) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1154309656 |
| Entity Type | Individual |
| Full Name | DR. GLEN WAYNE HECKMAN |
| Credential | M.D. |
| Practice Address |
3801 Gaston Avenue Suite 200 Dallas TX 75246-1619 |
| Mailing Address |
9514 Moss Haven Dr Dallas TX 75231-2608 |
| Practice Telephone | 2148239630 |
| Practice Fax Number | 2148213556 |
| Enumeration Date | 2006-01-04 |
| Last Update Date | 2011-10-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
F9547 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | 113952903 | 05 |
| Street Address |
3801 GASTON AVENUE SUITE 200 |
| City | DALLAS |
| State | TX |
| Zip Code | 75246-1619 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801020664 | Sleep Centers of Texas | Durable Medical Equipment & Medical Supplies | 3801 Gaston Avenue, Suite 210, Dallas, TX 75246-2535 | 2009-05-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396201356 | Roseann Estrada Mendoza | Nurse Practitioner | 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 | 2019-02-14 |
| 1033683701 | Marta Revilla-leon | Dentist | 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 | 2019-01-16 |
| 1912408170 | Liza Johannesson | Transplant Surgery | Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 | 2018-02-23 |
| 1841710266 | Stephanie Chartier-plante | Student in an Organized Health Care Education/Training Program | 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 | 2017-06-27 |
| 1528505096 | Adam Bohnenblust | Chiropractor | 411 N Washington Ave Ste 2200, Dallas, TX 75246 | 2017-01-23 |
| 1699121327 | Magnolia Pain Associates Pllc | Pain Medicine | 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 | 2016-05-12 |
| 1073969408 | Apurva Yeluru | Hospitalist | 3500 Gaston Ave Ste 550, Dallas, TX 75246 | 2016-05-04 |
| 1134580533 | Sp Alf Ops Co, LLC | Assisted Living Facility | 3922 Simpson Street, Dallas, TX 75246 | 2016-03-11 |
| 1386031185 | Lisa Voigt | Student in an Organized Health Care Education/Training Program | 3501 Junius Street, Dallas, TX 75246 | 2015-04-20 |
| 1891107843 | Jessica Shie | Internal Medicine | Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 | 2014-05-27 |
| Find all providers in zip 75246 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1982953469 | Modern Gynecology, Pllc | Obstetrics & Gynecology | 3822 Bowser Ave., Dallas, TX 75219-4301 | 2012-08-30 |
| 1073746160 | Leesa Blake Condry | Obstetrics & Gynecology | 3605 Lexington Ave, Dallas, TX 75205-3916 | 2009-08-24 |
| 1427285915 | Martin Leon Freifeld | Obstetrics & Gynecology | 32 Shrine Vw, Dallas, PA 18612-9213 | 2009-06-11 |
| 1740463314 | Charles P. Guerriero IIi, Md | Obstetrics & Gynecology | 8315 Walnut Hill Ln Ste 105, Dallas, TX 75231-4248 | 2007-12-06 |
| 1609079805 | Angela F Walker | Obstetrics & Gynecology | 7777 Forest Ln D570, Dallas, TX 75230-2559 | 2007-06-06 |
| 1962619791 | Nancy Sue Silverblatt | Obstetrics & Gynecology | 10529 Sandpiper Ln, Dallas, TX 75230-4218 | 2007-05-17 |
| 1477184398 | The Livingston Agency, Pllc | Obstetrics & Gynecology | 16970 Dallas Pkwy Ste 500, Dallas, TX 75248-1983 | 2020-01-29 |
| 1558826933 | Kamilia Tagi Smith Md Pllc | Obstetrics & Gynecology | 3611 Swiss Ave Ste 201, Dallas, TX 75204-6245 | 2019-02-09 |
| Find all providers in DALLAS | ||||
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| 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.