DR. JEFFREY W. HEITKAMP (NPI# 1821087636) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821087636 |
| Entity Type | Individual |
| Full Name | DR. JEFFREY W. HEITKAMP |
| Credential | M.D. |
| Practice Address |
811 W Interstate 20 Ste 134 Arlington TX 76017-5871 |
| Practice Telephone | 8172744593 |
| Practice Fax Number | 8172744098 |
| Mailing Telephone | 8172744593 |
| Mailing Fax Number | 8172744098 |
| Enumeration Date | 2005-10-14 |
| Last Update Date | 2020-08-19 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207T00000X | Neurological Surgery | F4064 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | AETNA | 0610290 | 01 |
| TX | CIGNA | 314595 | 01 |
| TX | MEDICARE | 00FM69 | 01 |
| TX | BCBS OF TEXAS | 80A470 | 01 |
| Street Address |
811 W INTERSTATE 20 STE 134 |
| City | ARLINGTON |
| State | TX |
| Zip Code | 76017-5871 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316068174 | Arlington Association of Neurological Surgeons, Pa | Specialist | 811 W Interstate 20 Ste 134, Arlington, TX 76017-5871 | 2007-04-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972149714 | Elite Vision Center | Optometrist | 5335 W. Sublett Road, Suite 600, Arlington, TX 76017 | 2019-11-26 |
| 1497390694 | Ijeoma Esther Osuji | Nurse Practitioner | 5307 Alta Vista Lane, Arlington, TX 76017 | 2019-11-12 |
| 1003385386 | Peace Within | Counselor | 5904 S. Cooper Ste. 104 - Pmb 162, Arlington, TX 76017 | 2018-11-16 |
| 1750883229 | Lumin Health Physician Group, Pa | Pain Medicine | 808 W Interstate 20 Suite 201, Arlington, TX 76017 | 2018-03-01 |
| 1215438643 | Clover Francis | Licensed Vocational Nurse | 5211 Saratoga Lane, Arlington, TX 76017 | 2018-02-21 |
| 1265942593 | Maria Luisa Gonzalez | Community Health Worker | 5916 Wind Drift Trail, Arllington, TX 76017 | 2017-09-29 |
| 1285150318 | Divya Patel | Counselor | 5201 Windy Meadow Drive, Arlington, TX 76017 | 2017-08-21 |
| 1912420217 | Natalia Sampaio Goodwin | Registered Nurse | 811 W. Interstate 20, Suite 212, Arlington, TX 76017 | 2017-07-19 |
| 1962939744 | Sean Christopher Hembree | Chiropractor | 4304 Sw Green Oaks Blvd Ste 150, Arlington, TX 76017 | 2017-05-11 |
| 1154866119 | Deborah Tuckey Nystrom | Physical Therapist | 2310 West I-20, Suite 204, Arlington, TX 76017 | 2016-12-30 |
| Find all providers in zip 76017 | ||||
| Taxonomy Code | 207T00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Neurological Surgery |
| A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902368483 | Subach Spinal Solutions | Neurological Surgery | 1635 N George Mason Dr Ste 150, Arlington, VA 22205-3679 | 2019-04-03 |
| 1710205265 | Clay Madison Elswick | Neurological Surgery | 515 W Mayfield Rd Ste 407, Arlington, TX 76014-2085 | 2010-05-07 |
| 1356515738 | Richard David Murray | Neurological Surgery | 1625 N George Mason Dr Ste 445, Arlington, VA 22205-3684 | 2008-04-17 |
| 1831384577 | Arlington Neurosurgical Association | Neurological Surgery | 1001 N Waldrop Dr Ste 401, Arlington, TX 76012-4703 | 2007-09-06 |
| 1326108200 | Immanuel Brain, Spine and Nerve Surgery, Pa | Neurological Surgery | 624 Matlock Centre Cir, Arlington, TX 76015-2536 | 2006-12-11 |
| 1598733776 | Brian R Subach | Neurological Surgery | 1635 N. George Mason Drive, Suite 150, Arlington, VA 22205 | 2006-03-14 |
| 1376548396 | Jacob Rosenstein | Neurological Surgery | 800 W Arbrook Blvd, Suite 150, Arlington, TX 76015-4327 | 2005-06-16 |
| 1205130465 | Mymd Health and Wellness | Neurological Surgery | 800 W Arbrook Blvd, 330, Arlington, TX 76015-4327 | 2011-01-03 |
| 1659692572 | Neurovirginia, Plc | Neurological Surgery | 1625 N George Mason Dr, Suite 445, Arlington, VA 22205-3683 | 2010-06-15 |
| 1689993172 | Nikhil Ravindra Nayak | Neurological Surgery | 1625 N George Mason Dr, Suite 445, Arlington, VA 22205-3683 | 2010-05-24 |
| Find all providers in ARLINGTON | ||||
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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.