MS. PENNY SUE HEAVILON (NPI# 1891081261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891081261 |
| Entity Type | Individual |
| Full Name | MS. PENNY SUE HEAVILON |
| Credential | RVT, RT(R)(M) |
| Practice Address |
1003 Charnwood Pkwy Beech Grove IN 46107-3307 |
| Practice Telephone | 3177808935 |
| Mailing Telephone | 3177808935 |
| Enumeration Date | 2011-06-23 |
| Last Update Date | 2011-06-23 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246XC2903X |
Spec/Tech, Cardiovascular Specialization: Vascular Specialist |
Technologists, Technicians & Other Technical Service Providers |
| Street Address |
1003 CHARNWOOD PKWY |
| City | BEECH GROVE |
| State | IN |
| Zip Code | 46107-3307 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417243791 | Neves Imaging Specialists, LLC | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 1003 Charnwood Pkwy, Beech Grove, IN 46107-3307 | 2011-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669757464 | Lisa Katherine Mabie | Pharmacist | 1808 N Albany St, Beech Grove, IN 46107 | 2011-10-13 |
| 1275797847 | Kay Lynn Kolthoff | Registered Nurse | 1600 Albany Street, Beech Grove, IN 46107 | 2008-07-14 |
| 1699802439 | James Michael Souers | Dentist | 4140 S Emerson Ave, Beech Grove, IN 46107 | 2007-02-28 |
| 1871605055 | St Paul Hermitage Home | Nursing Facility/Intermediate Care Facility | 501 N 17th Avenue, Beech Grove, IN 46107 | 2006-08-31 |
| 1013931989 | David E. Crook | Anesthesiology | 1600 N. Albany St, Indianapolis, IN 46107 | 2006-07-26 |
| 1063409456 | The Health and Hospital Corporation of Marion County | Skilled Nursing Facility | 2002 Albany St, Beech Grove, IN 46107 | 2005-09-30 |
| 1629075429 | Victoria Ann Othersen | Family Medicine | 2030 Churchman Ave # A, Beech Grove, IN 46107 | 2005-07-07 |
| 1215548144 | Grace Connelly | Speech-Language Pathologist | 501 N 17th Ave, Beech Grove, IN 46107 | 2020-08-13 |
| 1780995969 | Sharon Sue Taylor | Nurse Practitioner | 2030 Churchman Ave Ste A, Beech Grove, IN 46107-1044 | 2010-06-23 |
| 1124012729 | Claudet C Smith | Internal Medicine | 2030 Churchman Ave, Beech Grove, IN 46107-1044 | 2005-09-09 |
| Find all providers in zip 46107 | ||||
| Taxonomy Code | 246XC2903X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Spec/Tech, Cardiovascular |
| Specialization | Vascular Specialist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063758506 | Mobile Ultrasound LLC | Spec/Tech, Cardiovascular | 3388 Founders Rd, Suite A, Indianapolis, IN 46268-1443 | 2013-01-02 |
| 1225213382 | Wanda Susie Clawson | Spec/Tech, Cardiovascular | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2008-01-08 |
| 1801082441 | Kimberly J. Carlson | Spec/Tech, Cardiovascular | 1801 N Senate Blvd, Suite 755, Indianapolis, IN 46202-1228 | 2007-09-18 |
| 1538355243 | Stephen J. Carter | Spec/Tech, Cardiovascular | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2007-09-18 |
| 1720288830 | Tanya A. Mcclendon | Spec/Tech, Cardiovascular | 1801 N Senate Blvd, Suite 755, Indianapolis, IN 46202-1228 | 2007-07-18 |
| 1013938687 | Vicki L. Christian | Spec/Tech, Cardiovascular | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2006-07-21 |
| 1346261922 | Cynthia S. Rominger | Spec/Tech, Cardiovascular | 8433 Harcourt Rd, Suite 100, Indianapolis, IN 46260-2190 | 2006-07-21 |
| City | BEECH GROVE |
| Zip Code | 46107 |
Please comment or provide details below to improve the information on MS. PENNY SUE HEAVILON.
| 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.