DR. PETER J. HEATH (NPI# 1396738746) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1396738746 |
Entity Type | Individual |
Full Name | DR. PETER J. HEATH |
Credential | D.D.S., M.D. |
Practice Address |
270 E Day Rd Suite 260 Mishawaka IN 46545-3444 |
Practice Telephone | 5742728823 |
Practice Fax Number | 5742771837 |
Mailing Telephone | 5742728823 |
Mailing Fax Number | 5742771837 |
Enumeration Date | 2005-08-31 |
Last Update Date | 2015-09-29 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
2503 | NH | Dental Providers |
N | 1223S0112X |
Dentist Specialization: Oral and Maxillofacial Surgery |
9545 | MD | Dental Providers |
Y | 204E00000X | Oral & Maxillofacial Surgery | 12434R | LA | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
NH | DENTAL LICENSE (INACTIVE) | 2503 | 01 |
IN | IN DENTAL LICENSE | 12011044A | 01 |
LA | MEDICAL LICENSE | 12434R | 01 |
IN | 200870900 | 05 | |
MD | DENTAL LICENSE | 9545 | 01 |
IN | IN MEDICAL LICENSE | 01063978A | 01 |
Street Address |
270 E DAY RD SUITE 260 |
City | MISHAWAKA |
State | IN |
Zip Code | 46545-3444 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1134129919 | Jena M Corban | Nurse Practitioner | 270 E Day Rd, Suite 280, Mishawaka, IN 46545-3444 | 2005-07-22 |
1447798939 | Center for Minimally Invasive Spinecare, Inc | Orthopaedic Surgery | 270 E Day Rd, Suite #200, Mishawaka, IN 46545-3444 | 2017-02-06 |
1235454950 | Edward Charles Collins IIi | Dentist | 270 E Day Rd, Suite 260, Mishawaka, IN 46545-3444 | 2010-04-06 |
1881887065 | Edison Lakes Oral Surgery, P.C. | Clinic/Center | 270 E Day Rd, Suite 260, Mishawaka, IN 46545-3444 | 2007-08-22 |
1649460619 | Saurabh R Joneja | Preventive Medicine | 270 E Day Rd, Suite 270, Mishawaka, IN 46545-3444 | 2007-07-26 |
1699713321 | Russell Matthew Linman | Dentist | 270 E Day Rd, Suite 260, Mishawaka, IN 46545-3444 | 2006-06-03 |
1225089469 | Neurology and Pain Management | Internal Medicine | 270 E Day Rd, Suite 280, Mishawaka, IN 46545-3444 | 2006-05-12 |
1578558458 | Mishawaka Orthopedics and Sports Medicine P C | Orthopaedic Surgery | 270 E Day Rd, Ste 200, Mishawaka, IN 46545-3444 | 2005-09-15 |
1881689834 | Charles Mcdonald Ware Jr. | Orthopaedic Surgery | 270 E Day Rd, Ste 200, Mishawaka, IN 46545-3444 | 2005-09-15 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1649824103 | Senior Helpers | In Home Supportive Care | 230 Catalpa Drive Suite B, Mishawaka, IN 46545 | 2019-08-01 |
1093272114 | Candice Marie Greathouse | Physical Therapy Assistant | 3630 Hickory Road, Mishawaka, IN 46545 | 2019-02-25 |
1639662596 | Mishawaka Rcf Lp | Assisted Living Facility | 3630 Hickory Rd, Mishawaka, IN 46545 | 2018-06-14 |
1760907299 | Timothy John Howard | Emergency Medicine | 610 1/2 N Main Street, Apartment 1, Mishawaka, IN 46545 | 2017-08-05 |
1699203612 | Paridhie Vasudevan | Dentist | 6502 Grape Rd Ste 882, Mishawaka, IN 46545 | 2017-06-03 |
1780134650 | Ossip Optometry, PC | Optometrist | 5111 N. Main Street, Suite 200, Mishawaka, IN 46545 | 2016-10-04 |
1457730038 | Melissa Anne Douthit | Nurse Practitioner | 3665 Park Pl W Ste 300, Mishawaka, IN 46545 | 2015-05-28 |
1558759654 | Spine and Joint Associates of Plymouth, Inc | Chiropractor | 229 Red Coach, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
1609264795 | Spine and Joint Associates of Mishawaka, Inc | Chiropractor | 229 Red Coach Trail, Suite 106, Mishawaka, IN 46545 | 2014-12-26 |
1508260795 | Maribel Smith | Counselor | 2989 Heritage Ct, Mishawaka, IN 46545 | 2014-10-16 |
Find all providers in zip 46545 |
Taxonomy Code | 204E00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Oral & Maxillofacial Surgery |
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Notes: Source: American College of Surgeons, 2013. www.facs.org [7/1/2013: definition added, source added, additional resources added] Additional Resources: American Board of Oral and Maxillofacial Surgery and American Association of Oral and Maxillofacial Surgeons While this is generally considered a specialty of dentistry, physicians can also be board certified as oral and maxillofacial surgeons through the American Board of Oral and Maxillofacial Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295041093 | Central Indiana Oral Surgery and Implantology | Oral & Maxillofacial Surgery | 272 Medical Dr., Carmel, IN 46032 | 2010-08-31 |
1386762318 | Bloomington Oral & Maxillofacial Surgery Group | Oral & Maxillofacial Surgery | 637 S Walker Street, Suite 1, Bloomington, IN 47403-2154 | 2007-03-27 |
1083757355 | Carrie A. Klene | Oral & Maxillofacial Surgery | 715 W Carmel Dr Ste 102, Carmel, IN 46032-5881 | 2007-02-15 |
1689743809 | Rodney P Swantko | Oral & Maxillofacial Surgery | 9250 Columbia Avenue, Suite D 1, Munster, IN 46321 | 2006-11-06 |
1114007838 | Micheal J Deady Dds Inc | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-10-17 |
1134213796 | Tristan Vaun Stonger | Oral & Maxillofacial Surgery | 1 S Broadway, Peru, IN 46970-2231 | 2006-10-03 |
1558789891 | William Gardner Moll | Oral & Maxillofacial Surgery | 601 W Us Highway 30, Schererville, IN 46375-2656 | 2014-04-03 |
1205998739 | John Craig Cook | Oral & Maxillofacial Surgery | 1919 State St, Ste 407, New Albany, IN 47150 | 2006-12-14 |
1831264324 | Oral & Maxillofacial Surgery Associates PC | Oral & Maxillofacial Surgery | 7845 Carnegie Blvd, Fort Wayne, IN 46804 | 2006-11-21 |
1366512972 | Michael Joseph Deady | Oral & Maxillofacial Surgery | 1630 Poplar St, Terre Haute, IN 47807 | 2006-11-09 |
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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.