MRS. LATISHA DAWN HEINLEN


Address: 6516 N Olie Ave Ste G, Oklahoma City, OK 73116-7399
Phone: 4056088060

MRS. LATISHA DAWN HEINLEN (NPI# 1649430810) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1649430810
Entity Type Individual
Full Name MRS. LATISHA DAWN HEINLEN
Other Name MISS LATISHA DAWN CAMP
Credential MD
Practice Address 6516 N Olie Ave Ste G
Oklahoma City
OK 73116-7399
Practice Telephone 4056088060
Practice Fax Number 4056088070
Mailing Telephone 4056088060
Mailing Fax Number 4056088070
Enumeration Date 2008-06-11
Last Update Date 2018-06-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RR0500X Internal Medicine
Specialization: Rheumatology
26317 OK Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK STATE MEDICAL LICENSE 26317 01

Provider Secondary Practice Location

Address Telephone Number Fax Number
6516 N Olie Ave, Oklahoma City, OK 731167226 4056088060 4066088070

Office Location

Street Address 6516 N OLIE AVE STE G
City OKLAHOMA CITY
State OK
Zip Code 73116-7399

Providers in the same location

NPI Name Taxonomy Address Enumeration
1821481789 Sharla Brown Clinical Nurse Specialist 6516 N Olie Ave Ste G, Oklahoma City, OK 73116-7399 2015-03-16
1295973725 Joseph Charles Rawdon Clinical Nurse Specialist 6516 N Olie Ave Ste G, Oklahoma City, OK 73116-7399 2009-01-21

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1306455068 Restore Family Counseling, LLC Clinic/Center 100 W. Wilshire, Suite #c3, Oklahoma City, OK 73116 2020-07-29
1861058877 Dental Depot of 63rd & Nw Expressway, Pllc Clinic/Center 4025 Nw 63rd Street, Oklahoma City, OK 73116 2019-05-15
1073001756 Oklahoma Clinical Management LLC Prevention Professional 4301 Nw 63rd St Ste 107, Oklahoma City, OK 73116 2018-04-27
1235658261 Heinen Physical Therapy, PC Clinic/Center 7710 N May Ave, Oklahoma City, OK 73116 2017-09-11
1235657842 Jacque S Komers Counselor 6501 N Broadway Ext Suite 180, Oklahoma City, OK 73116 2017-09-04
1164943874 Jo Ann Cole-johnson Counselor 6505 N. Shawnee Ave, Oklahoma, OK 73116 2017-07-03
1548790793 Zachary Wayne Skates Case Manager/Care Coordinator North 6501 Broadway Extention Highway #180, Oklahoma City, OK 73116 2017-06-19
1548622673 Jessica Defiore Case Manager/Care Coordinator 6501 N Broadway Extension, Oklahoma City, OK 73116 2016-03-28
1093173247 Patrice Ann Cook Specialist/Technologist, Other 7700 N. Hudson Ave, Suite Number 9, Oklahoma City, OK 73116 2016-02-03
1467880708 Abrina Marie Kneeland Occupational Therapy Assistant 6525 N. Meridian #311, Therapists Unlimited Division of Career Staff, Oklahoma City, OK 73116 2013-10-24
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Taxonomy Information

Taxonomy Code 207RR0500X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Rheumatology

Taxonomy Definition

An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases.
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.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1720480387 Phillip J Wright Internal Medicine 1409 Harden Ct, Oklahoma City, OK 73118-1055 2014-09-25
1316064876 Richard Jacob Hess Internal Medicine 3109 Lamp Post Ln, Oklahoma City, OK 73120-5618 2007-03-22
1699822379 Mohammad Faisal Khan Internal Medicine 1015 N Shartel Ave, Oklahoma City, OK 73102 2007-01-04
1235237728 Mary Beth Humphrey Internal Medicine 941 Stanton L Young Blvd, Bseb 306e, Oklahoma City, OK 73104-5019 2006-09-20
1962471813 Joan T Merrill Internal Medicine 825 Ne 13th St, Omrf E110, Oklahoma City, OK 73104-5005 2006-03-14
1811968399 Christine Ellen Codding Internal Medicine 1211 North Shartel Avenue, Suite 700, Oklahoma City, OK 73103-2433 2006-01-31
1174979942 John Goetzinger Internal Medicine 800 Stanton L Young Blvd # 6400, Oklahoma City, OK 73104-5018 2016-05-10
1407211048 Saints Medical Group, LLC Internal Medicine 13401 N Western Ave, Suite 210, Oklahoma City, OK 73114-1408 2015-12-28
1588050652 Nicholas Matthew Lytle Internal Medicine 800 Stanton L Young Blvd, Oklahoma City, OK 73104-5018 2015-04-15
1043653264 Tommie Simon Internal Medicine 920 Stanton L Young Blvd, Wp 1350, Oklahoma City, OK 73104-5036 2013-04-08
Find all providers in OKLAHOMA CITY

Competitor

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City OKLAHOMA CITY
Zip Code 73116

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Dataset Information

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.

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