DR. MARK DAVID HEANEY (NPI# 1902088032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902088032 |
| Entity Type | Individual |
| Full Name | DR. MARK DAVID HEANEY |
| Credential | L.P.C. |
| Practice Address |
1111 N Lee Ave Suite 101 Oklahoma City OK 73103-2600 |
| Practice Telephone | 4058206992 |
| Practice Fax Number | 4056067449 |
| Mailing Telephone | 4058206992 |
| Mailing Fax Number | 4056067449 |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2012-01-13 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YP1600X |
Counselor Specialization: Pastoral |
3102 | OK | Behavioral Health & Social Service Providers |
| N | 101YP1600X |
Counselor Specialization: Pastoral |
65976 | TX | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
3102 | OK | Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740383975 | Mark L Heaney | Internal Medicine | 622 W 168th St, New York, NY 10032-3720 | 2006-09-06 |
| Street Address |
1111 N LEE AVE SUITE 101 |
| City | OKLAHOMA CITY |
| State | OK |
| Zip Code | 73103-2600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841271749 | Robert D Evans | Anesthesiology | 1111 N Lee Ave, Suite 236, Oklahoma City, OK 73103-2620 | 2005-11-08 |
| 1770106619 | Hannah Holasek | Physician Assistant | 1111 N Lee Ave, Oklahoma City, OK 73103-2600 | 2020-05-27 |
| 1699276402 | Nicole Ida Harris | Nurse Practitioner | 1111 N Lee Ave, Oklahoma City, OK 73103-2600 | 2018-02-27 |
| 1740730720 | Ssm Health Care of Oklahoma, Inc | Internal Medicine | 1111 N Lee Ave, Suite 300, Oklahoma City, OK 73103-2600 | 2016-10-13 |
| 1659829539 | Jessy John | Nurse Practitioner | 1111 N Lee Ave, Suite 249, Oklahoma City, OK 73103-2600 | 2016-09-20 |
| 1942691175 | Rheumatic Diseases Clinic of Oklahoma, Pllc | Specialist | 1111 N Lee Ave, Suite 249, Oklahoma City, OK 73103-2600 | 2015-02-10 |
| 1295130300 | Well Again Mht LLC | Nurse Practitioner | 1111 N Lee Ave, Suite 310, Oklahoma City, OK 73103-2600 | 2014-10-31 |
| 1326474677 | Well Again Medical Care, Pllc | Family Medicine | 1111 N Lee Ave, Ste 310, Oklahoma City, OK 73103-2600 | 2013-09-18 |
| 1801160841 | Inner Peace Pastoral Counseling, Pllc | Counselor | 1111 N Lee Ave, Suite 101, Oklahoma City, OK 73103-2600 | 2012-03-07 |
| 1902186984 | Saints Medical Group, LLC | Internal Medicine | 1111 N Lee Ave, Suite 334, Oklahoma City, OK 73103-2600 | 2011-08-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568946846 | Medical Center Pain Clinic, LLC | Pain Medicine | 1226 N Shartel Ave Suite 300, Oklahoma City, OK 73103 | 2018-09-21 |
| 1801321369 | Jessica Reed | Community Health Worker | 432 Nw11th St, Oklahoma City, OK 73103 | 2017-04-21 |
| 1982070975 | Retinal Care Diagnostics LLC | Ophthalmology | 1111 N Lee Ave Ste 210, Oklahoma City, OK 73103 | 2015-08-13 |
| 1316329063 | Nurturing Positive Solutions | Marriage & Family Therapist | 307 N. W. 21st Street, Oklahoma City, OK 73103 | 2015-06-18 |
| 1871916700 | Good Shepherd Ministries | Clinic/Center | 222 Nw 12th Street, Oklahoma City, OK 73103 | 2014-01-29 |
| 1275973448 | Christine Donnette Jeffers | Case Manager/Care Coordinator | 433 Nw 25 #10, Oklahoma, OK 73103 | 2013-07-02 |
| 1629327358 | Kelly Rose Whelan | Social Worker | 416 Nw 23rd St, Oklahoma City, OK 73103 | 2012-09-10 |
| 1801160585 | Susan Elizabeth Bigbie | Registered Nurse | 1214 N Hudson, Oklahoma City, OK 73103 | 2012-02-28 |
| 1548533441 | Doris Gayle Poteet | Licensed Practical Nurse | 1214 N. Hudson, Oklahoma, OK 73103 | 2012-02-23 |
| 1538440698 | Wendi J Rollins | Case Manager/Care Coordinator | 600 Nw 23, Suite 108, Oklahoma City, OK 73103 | 2011-09-02 |
| Find all providers in zip 73103 | ||||
| Taxonomy Code | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437758224 | Taylor Christine Clinton | Counselor | 3838 Nw 36th St Ste 300, Oklahoma City, OK 73112-2970 | 2020-10-22 |
| 1518585595 | Twelfth House Wellness LLC | Counselor | 1929 Nw 29th St, Oklahoma City, OK 73106-1019 | 2020-07-07 |
| 1902451040 | Latonyia Yvette Rogers | Counselor | 4001 N Classen Blvd Ste 200, Oklahoma City, OK 73118-2683 | 2019-08-06 |
| 1679139182 | Teresa Ann Larkin | Counselor | 1916 Nw 17th St, Oklahoma City, OK 73106-1804 | 2019-05-10 |
| 1326511767 | Andrea Burton | Counselor | 2724 Plymouth Ln, Oklahoma City, OK 73120-3016 | 2019-01-08 |
| 1659840064 | It Starts With You, Lpc Pllc | Counselor | 200 N Harvey Ave Apt 906, Oklahoma City, OK 73102-4023 | 2018-11-14 |
| 1164939765 | Personal Revolutions Behavioral Health Services, LLC | Counselor | 6801 S Western Ave Ste 105, Oklahoma City, OK 73139-1816 | 2018-01-04 |
| 1285143370 | Elizabeth M. Cocke, LLC | Counselor | 1826 Westminster Pl, Oklahoma City, OK 73120-4702 | 2017-09-21 |
| 1003331075 | Oden Counseling, Pllc | Counselor | 3033 Nw 63rd St Ste 151e, Oklahoma City, OK 73116-3634 | 2017-08-10 |
| 1982127395 | Brook Beavers | Counselor | 4045 Nw 64th St Ste 520, Oklahoma City, OK 73116-8608 | 2017-07-18 |
| Find all providers in OKLAHOMA CITY | ||||
| City | OKLAHOMA CITY |
| Zip Code | 73103 |
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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.