ROBERT HEFFERNAN (NPI# 1629437454) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629437454 |
| Entity Type | Individual |
| Full Name | ROBERT HEFFERNAN |
| Credential | DO |
| Practice Address |
401 Matthew St Marietta OH 45750-1635 |
| Mailing Address |
3515 Massillon Rd Ste 300 Uniontown OH 44685-7854 |
| Practice Telephone | 7403747700 |
| Practice Fax Number | 7403747701 |
| Mailing Telephone | 3308999350 |
| Enumeration Date | 2016-02-22 |
| Last Update Date | 2020-08-17 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207R00000X | Internal Medicine | 34-013472 | OH | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1106 Colegate Dr, Marietta, OH 457501323 | 7403747700 | 7403747701 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255892790 | Robert William Heffernan | Student in an Organized Health Care Education/Training Program | W180n8000 Town Hall Rd, Menomonee Falls, WI 53051-4002 | 2019-03-27 |
| 1518034917 | Robert Heffernan | Pediatrics | 4212 Ne Broadway St, Portland, OR 97213-1460 | 2006-11-29 |
| Street Address |
401 MATTHEW ST |
| City | MARIETTA |
| State | OH |
| Zip Code | 45750-1635 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114922440 | Anthony V Goocey | Nurse Practitioner | 401 Matthew St, Emergency Dept, Marietta, OH 45750-1635 | 2005-06-14 |
| 1265046650 | Haley Pressley | Pharmacist | 401 Matthew St, Marietta, OH 45750-1635 | 2020-09-02 |
| 1609495811 | Tiffany Diane Rebholz | Respiratory Therapist, Registered | 401 Matthew St, Marietta, OH 45750-1699 | 2020-04-09 |
| 1316576903 | Pamela R Brearey | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-06 |
| 1053940155 | Spencer Ashcraft | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1447889464 | Shaun Mcmillin | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1528697505 | Raymond W Dobson | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1023647088 | Alyssa M Gates | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1013546076 | Elaine Stearney | Student in an Organized Health Care Education/Training Program | 401 Matthew St, Ferguson Building, Marietta, OH 45750 | 2020-04-02 |
| 1205490919 | Justin Cole Lyttle | Nurse Anesthetist, Certified Registered | 401 Matthew St, Marietta, OH 45750-1635 | 2019-04-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073111654 | Mary V Byrd | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 37 Sterling Rd, Marietta, OH 45750 | 2020-10-15 |
| 1356997522 | Jeffry Todd Arthur | Pharmacist | 401 Matthew Street Suite 100, Marietta, OH 45750 | 2019-08-14 |
| 1164965752 | Jennifer Ann Simmons | Counselor | 121 Putnam St, Marietta, OH 45750 | 2016-11-30 |
| 1811449010 | Kaylee Rebecca-ann Weihl | Counselor | 207 D Colegate Drive, Marietta, OH 45750 | 2016-11-04 |
| 1467802181 | Jody Alden | Registered Nurse | 342 Muskingum Dr., Marietta, OH 45750 | 2016-06-14 |
| 1073998944 | Rise A. Gibson | Dental Hygienist | 342 Muskingum Drive, Marietta, OH 45750 | 2015-07-21 |
| 1639559602 | Washington County Board of Developmental Dissabilities | Day Training, Developmentally Disabled Services | 1701 Colegate Dr., Marietta, OH 45750 | 2015-06-04 |
| 1902290406 | Irina Catanescu | Emergency Medicine | 401 Matthew Street, Emergency Department, Marietta, OH 45750 | 2015-03-23 |
| 1134520356 | Susan Jahn | Occupational Therapist | 1338a Colegate Dr, Marietta, OH 45750 | 2014-09-08 |
| 1740696087 | Melissa D Maston | Registered Nurse | Express Care - Marietta, 800 Pike St Ste 2, Marietta, OH 45750 | 2014-07-08 |
| Find all providers in zip 45750 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790399475 | Janice Carol Gould | Internal Medicine | 140 Vann St Ne Ste 350, Marietta, GA 30060-8975 | 2020-09-01 |
| 1952914368 | Hardy Renew Wellness,llc | Internal Medicine | 838 Cannon Run Sw, Marietta, GA 30064-4600 | 2020-08-25 |
| 1881202752 | Zandoc Group Corp | Internal Medicine | 2759 Delk Rd Se Ste 1603, Marietta, GA 30067-8887 | 2020-07-16 |
| 1548892458 | Atlanta Osteoarthritis Center LLC | Internal Medicine | 2550 Windy Hill Rd Se Ste 308, Marietta, GA 30067-8655 | 2020-02-08 |
| 1952949893 | Dr Amy L Varner LLC | Internal Medicine | 1000 Johnson Ferry Rd Bldg E Ste 200, Marietta, GA 30068 | 2019-12-11 |
| 1184283772 | Iora Health Georgia, P.C. | Internal Medicine | 280 Cobb Pkwy Se, Suite 60, Marietta, GA 30060 | 2019-06-07 |
| 1295392140 | Camden-clark Physician Corporation | Internal Medicine | 26 Acme St, Marietta, OH 45750-3306 | 2019-05-28 |
| 1821572447 | Cies Global - Georgia LLC | Internal Medicine | 780 Canton Rd Ne Ste 205, Marietta, GA 30060-7242 | 2018-09-19 |
| 1164943510 | David Hout Mason Jr. | Internal Medicine | 3615 Paper Mill Rd Se, Marietta, GA 30067-4938 | 2017-07-06 |
| 1942678628 | Claudia Michelle Brauer Ornelas | Internal Medicine | 401 Matthew St Dept Of, Marietta, OH 45750-1635 | 2015-09-11 |
| Find all providers in MARIETTA | ||||
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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.