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).
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 |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
26317 | OK | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | STATE MEDICAL LICENSE | 26317 | 01 |
Address | Telephone Number | Fax Number |
---|---|---|
6516 N Olie Ave, Oklahoma City, OK 731167226 | 4056088060 | 4066088070 |
Street Address |
6516 N OLIE AVE STE G |
City | OKLAHOMA CITY |
State | OK |
Zip Code | 73116-7399 |
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 |
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 |
Find all providers in zip 73116 |
Taxonomy Code | 207RR0500X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Rheumatology |
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. |
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 |
City | OKLAHOMA CITY |
Zip Code | 73116 |
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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.