DR. MICHAEL HEFFERNAN (NPI# 1457349920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457349920 |
Entity Type | Individual |
Full Name | DR. MICHAEL HEFFERNAN |
Credential | PHD CP |
Practice Address |
408 N Third Street Fulton TX 78358 |
Mailing Address |
Po Box 2321 Fulton TX 78358-2321 |
Practice Telephone | 3614636115 |
Mailing Telephone | 3614636115 |
Enumeration Date | 2005-10-10 |
Last Update Date | 2012-08-10 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 103TC0700X |
Psychologist Specialization: Clinical |
22178 | TX | Behavioral Health & Social Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
TX | 035457301 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1326675802 | Michael Heffernan | Physician Assistant | 278 Eagleview Blvd, Exton, PA 19341-1157 | 2020-03-25 |
1326359506 | Michael Adam Heffernan | Physical Therapist | 2032 New Castle Ave, New Castle, DE 19720-7703 | 2010-06-23 |
1750588836 | Michael Heffernan | Orthopaedic Surgery | 200 Henry Clay Ave, New Orleans, LA 70118-5720 | 2007-07-02 |
1588738603 | Michael Heffernan | Counselor | 345 Blackstone Blvd, Providence, RI 02906-4800 | 2006-11-20 |
1518923432 | Michael P Heffernan | Dermatology | 15 Santa Rosa St, San Luis Obispo, CA 93405-1811 | 2006-04-21 |
Street Address |
408 N THIRD STREET |
City | FULTON |
State | TX |
Zip Code | 78358 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083933097 | South Texas Sports Medicine Inc | Clinic/Center | 1007 Fm 3036, Fulton, TX 78358 | 2010-06-01 |
1588835227 | Jay Pearce | Emergency Medicine | 8 Laguna Vista, Fulton, TX 78358 | 2008-03-21 |
1225188592 | Coastal Bend Adult Day Care, Inc. | Clinic/Center | 102 Broadway, Fulton, TX 78358 | 2007-01-11 |
1346238813 | Jennifer George | Nurse Practitioner | 408 N Third St, Fulton, TX 78358 | 2005-10-10 |
1417185265 | Carolyn R Hall | Speech-Language Pathologist | 507 Cactus, Fulton, TX 78358-0166 | 2009-06-30 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1538775689 | Ericka Jo Daniszewski | Licensed Practical Nurse | 112 W 1st St N, Fulton, NY 13069-1150 | 2020-09-23 |
1063026086 | Rachel Romero | Nurse Practitioner | 407 Interchange Dr, Fulton, MS 38843-6029 | 2020-09-08 |
1215541529 | David Vecchio | Social Worker | 522 S 4th St Ste 200, Fulton, NY 13069-2946 | 2020-09-03 |
1417565979 | Eileen Welch | Social Worker | 1164 County Line Rd, Fulton, NY 13069-4369 | 2020-07-21 |
1619591542 | Kristy S. Franks | Nurse Practitioner | 2803 Cobb Stump Rd, Fulton, MS 38843-7391 | 2020-06-06 |
1497378475 | Sophia Adele Giovannetti | Dietitian, Registered | 74 Lakeshore Rd, Fulton, NY 13069-4782 | 2020-05-25 |
1609498245 | Elizabeth Katherine Stoltz | Radiology | 1126 14th Ave, Fulton, IL 61252-1139 | 2020-05-16 |
1063034288 | Kerri Scriven | Speech-Language Pathologist | 9459 Ellsworth Ct, Fulton, MD 20759-9639 | 2020-05-11 |
1912528274 | Drayer Physical Therapy of Maryland LLC | Clinic/Center | 11710 E Market Place, Suite F, Fulton, MD 20759 | 2020-04-28 |
1043849755 | Journey Well Therapy and Coaching Pllc | Clinic/Center | 408 11th Avenue, Fulton, IL 61252 | 2020-04-04 |
Find all providers in FULTON |
Taxonomy Code | 103TC0700X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Psychologist |
Specialization | Clinical |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1164761805 | Brighter Day Health LLC | Psychologist | 473 Law Ct, Fulton, MO 65251-4005 | 2013-01-31 |
1013539329 | Ford Wellness Training & Consulting, LLC | Psychologist | 8115 Maple Lawn Blvd Ste 350, Fulton, MD 20759-2683 | 2020-05-08 |
1346872306 | Steven M Edwards | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2020-02-07 |
1073159539 | Justin M Wiseman | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-11-20 |
1194369744 | Kirsten Deming Hunter | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-11-06 |
1720551666 | Kayla Collier | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2019-01-03 |
1861969479 | Jennie L Brooks | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2018-11-01 |
1487179602 | Rebekah Antoinette Purvis | Psychologist | 600 E 5th St, Fulton, MO 65251 | 2017-08-09 |
1275075418 | Megan O'grady | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2016-11-04 |
1578014726 | Jessica Peterson | Psychologist | 600 E 5th St, Fulton, MO 65251-1753 | 2016-10-21 |
Find all providers in FULTON |
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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.