MS. COLLEEN ERIN HEIBY (NPI# 1407254162) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407254162 |
| Entity Type | Individual |
| Full Name | MS. COLLEEN ERIN HEIBY |
| Credential | PA-C |
| Practice Address |
5 Medical Plaza Dr Ste 190 Roseville CA 95661-2867 |
| Mailing Address |
858 42nd St Sacramento CA 95819-2726 |
| Practice Telephone | 9166793590 |
| Practice Fax Number | 9164823647 |
| Mailing Telephone | 6073418020 |
| Enumeration Date | 2014-12-11 |
| Last Update Date | 2020-10-21 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 363A00000X | Physician Assistant | MA057237 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
52294 | CA | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1508 Alhambra Blvd Ste 200, Sacramento, CA 958166510 | 9166793590 | 9164823647 |
| 1485 River Park Dr Ste 200, Sacramento, CA 958154530 | 9166793590 | 9164823647 |
| Street Address |
5 MEDICAL PLAZA DR STE 190 |
| City | ROSEVILLE |
| State | CA |
| Zip Code | 95661-2867 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164461554 | Amit Karmakar | Internal Medicine | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661 | 2006-06-04 |
| 1306382726 | Marykathrine Ley | Registered Nurse | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2017-01-09 |
| 1518316405 | Andrew P Terhune | Physician Assistant | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2016-06-10 |
| 1508252537 | Christa Smith | Nurse Practitioner | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2015-04-07 |
| 1770989758 | Sossy R Farajian | Nurse Practitioner | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2014-11-18 |
| 1588004287 | Faisal Ahmed | Internal Medicine | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2013-06-27 |
| 1184967036 | Kosal Seng | Internal Medicine | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661 | 2013-03-28 |
| 1962729251 | Meryl Ann Perez | Internal Medicine | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2010-04-26 |
| 1649426602 | Chiraag S Patel | Allergy & Immunology | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2008-08-11 |
| 1215147103 | Abhilash Nair | Internal Medicine | 5 Medical Plaza Dr Ste 190, Roseville, CA 95661-2867 | 2007-05-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134777816 | Aprildawn Mccarty Mccarty | Behavior Technician | 2125 Professional Dr, 100, Roseville, CA 95661 | 2019-08-27 |
| 1407409089 | David Armel Gomez Croddy | Dentist | 2740 Carradale Drive, Roseville, CA 95661 | 2019-07-22 |
| 1699335612 | Mowell | Durable Medical Equipment & Medical Supplies | 901 Sunrise, Roseville, CA 95661 | 2019-06-20 |
| 1578024998 | Mystesia Lasan Hayes | Behavior Technician | 4121 Vittorio Dr., Roseville, CA 95661 | 2019-03-28 |
| 1033676457 | The Place Within | Counselor | 720 Sunrise Ave #d115, Roseville, CO 95661 | 2019-02-21 |
| 1396217733 | Tuyen Thi Thanh Nguyen | Respiratory Therapist, Registered | Kaiser Roseville Hospital, 1600 Eureka Rd, Roseville, CA 95661 | 2018-12-26 |
| 1982179776 | Dr. Jeffrey A. Saladin, Dental Corporation | Dentist | 1565 Eureka Road, Suite 5, Roseville, CA 95661 | 2018-10-08 |
| 1184106536 | Sabita Kondle | Marriage & Family Therapist | 1528 Hope Counseling Center Ste 101, Roseville, CA 95661 | 2018-09-02 |
| 1740787837 | Sylvia A Atieno | Nurse Practitioner | Suttter Roseville Medical Center, 1 Medical Plaza, Roseville, CA 95661 | 2018-04-06 |
| 1457875296 | Good Works Psychophysiology and Physical Therapy | Physical Therapist | 1650 Leadhill Blvd, 600, Roseville, CA 95661 | 2017-08-02 |
| Find all providers in zip 95661 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497152763 | Joshua Lewis Cavaness | Physician Assistant | 2 Medical Plaza Dr Ste 255, Roseville, CA 95661-3050 | 2014-12-02 |
| 1619277712 | Anjali K Wilkerson | Physician Assistant | 576 N. Sunrise Ave, Ste. 220, Roseville, CA 95661 | 2010-10-24 |
| 1043305733 | Dorothy Ann Zamborsky | Physician Assistant | 851 Pleasant Grove Blvd Ste 110, Roseville, CA 95678-6176 | 2006-10-04 |
| 1285665620 | Julie Marie Gebhardt | Physician Assistant | 3001 Douglas Blvd Ste 325, Roseville, CA 95661-4289 | 2006-07-05 |
| 1396790358 | Shannon Rae Sgro | Physician Assistant | 1412 Blue Oaks Blvd, Roseville, CA 95747-7143 | 2006-05-24 |
| 1417595760 | William Murray | Physician Assistant | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2019-12-17 |
| 1366899437 | Chloe Ferrar | Physician Assistant | 1835 County Road C W, Roseville, MN 55113-1352 | 2016-05-18 |
| 1811354244 | Natalie Hope Pautsch | Physician Assistant | 2831 Snelling Ave N, Roseville, MN 55113-1712 | 2016-01-14 |
| 1609269927 | Abby Stretch | Physician Assistant | 4010 Foothills Blvd Ste 102, Roseville, CA 95747-7241 | 2015-03-11 |
| 1629460670 | Matthew Luther Case | Physician Assistant | 1 Medical Plaza Dr, Roseville, CA 95661-3037 | 2015-02-27 |
| Find all providers in ROSEVILLE | ||||
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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.