DR. JASON JEFFREY HEAVNER (NPI# 1952575003) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1952575003 |
| Entity Type | Individual |
| Full Name | DR. JASON JEFFREY HEAVNER |
| Credential | M.D. |
| Practice Address |
301 Hospital Dr Glen Burnie MD 21061 |
| Mailing Address |
920 Elkridge Landing Rd Linthicum MD 21090-2917 |
| Practice Telephone | 4107874000 |
| Mailing Telephone | 4434625010 |
| Enumeration Date | 2008-04-19 |
| Last Update Date | 2018-08-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
D82384 | MD | Allopathic & Osteopathic Physicians |
| N | 207RC0200X |
Internal Medicine Specialization: Critical Care Medicine |
49926 | CT | Allopathic & Osteopathic Physicians |
| Street Address |
301 HOSPITAL DR |
| City | GLEN BURNIE |
| State | MD |
| Zip Code | 21061 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184627507 | Richard Alan Kelton | Preventive Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-05-31 |
| 1871194662 | Rachel Ann Sands | Pharmacist | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-06 |
| 1912507500 | Ca'seem Tyler | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-11-01 |
| 1043818651 | Michael Booth | Registered Nurse | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-15 |
| 1912504598 | Rachel Janine Weitman | Physician Assistant | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-10-06 |
| 1689288359 | Candace Katelynn Fazenbaker | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-09-01 |
| 1699385542 | Amanda Theresa Bailey | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-08-05 |
| 1639797046 | Gloria Owusu-seshie | Nurse Practitioner | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-07-13 |
| 1447876693 | Ming Li | Nurse Anesthetist, Certified Registered | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| 1033735279 | Elodie Tendoh | Student in an Organized Health Care Education/Training Program | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2020-06-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255814422 | Lotus Behavioral Health and Rehabilitation Services Inc. | Behavior Technician | 6426 Harrison Square, Glen Burnie, MD 21061 | 2018-09-12 |
| 1942795315 | Tina Brown | Behavior Technician | Rise for Autism, 510 Mccormick Drive, Ste. U-w, Glen Burnie, MD 21061 | 2018-06-27 |
| 1205351905 | Digna Emerita Sanchez De Vasquez | Specialist/Technologist, Other | 201 Fernglen Ave, Glen Burnie, MD 21061 | 2017-08-03 |
| 1255780300 | Rachel Cutts | Physical Therapist | 7711 Quarterfield Rd Ste C2, Glen Burnie, MD 21061 | 2016-06-09 |
| 1295181170 | Gaudenzia, Inc. | Counselor | 5 Crain Highway North - Rear Suite Entrance, Glen Burnie, MD 21061 | 2016-05-10 |
| 1023499548 | Mary Bourbon | Nurse Practitioner | 1600 S. Cain Highway, Suite 401, Glen Burnie, MD 21061 | 2015-06-10 |
| 1972997724 | Robert Oladeinde | Physician Assistant | 6934 Aviation Blvd Suite B, Glen Burnie, MD 21061 | 2015-03-18 |
| 1205248069 | Cathy Qing He | Anesthesiology | 1600 Crain Hwy S Ste 301, Glen Burnie, MD 21061 | 2014-05-28 |
| 1477974764 | Shannon Holder | Nurse Practitioner | 1916 Crain Hwy S Ste 2, Glen Burnie, MD 21061 | 2014-01-03 |
| 1629404207 | Marla Ann Muha | Physician Assistant | 301 Hospital Dr # 803, Glen Burnie, MD 21061 | 2013-09-16 |
| Find all providers in zip 21061 | ||||
| Taxonomy Code | 207RC0200X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Critical Care Medicine |
| An internist who diagnoses, treats and supports patients with multiple organ dysfunction. This specialist may have administrative responsibilities for intensive care units and may also facilitate and coordinate patient care among the primary physician, the critical care staff and other specialists. |
| 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 |
|---|---|---|---|---|
| 1760694624 | Lung Associates of Anne Arundel PC | Internal Medicine | 305 Hospital Dr, Suite 305 Tate Center, Glen Burnie, MD 21061-5805 | 2007-05-04 |
| 1780801092 | Elizabeth Mcilmoyle | Internal Medicine | 305 Hospital Dr, Suite 305, Glen Burnie, MD 21061-5805 | 2007-04-19 |
| 1720092596 | Tisha K Fujii | Internal Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2006-07-28 |
| 1790725315 | Vadim Edward Korkhov | Internal Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2006-06-08 |
| 1437114451 | Matthew Park | Internal Medicine | 305 Hospital Dr, Suite 305 Tate Center, Glen Burnie, MD 21061-5805 | 2006-04-20 |
| 1720043755 | John Wiley | Internal Medicine | 305 Hospital Dr, Suite 305 Tate Center, Glen Burnie, MD 21061-5805 | 2006-04-20 |
| 1528049152 | Kamal Batcha | Internal Medicine | 1600 Crain Hwy S, Suite 308, Glen Burnie, MD 21061-5577 | 2005-11-10 |
| 1306827936 | Thirumalairaj Jeevan | Internal Medicine | 1600 Crain Hwy S, Suite 308, Glen Burnie, MD 21061-5577 | 2005-11-10 |
| 1255321030 | Guillermo Giangreco | Internal Medicine | 301 Hospital Dr, Glen Burnie, MD 21061-5803 | 2005-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831694066 | Rajesh M Shah M D | Internal Medicine | 8353 Governor Run, Ellicott City, MD 21043-3448 | 2018-03-29 |
| 1376994129 | Integra Clinical Services, LLC | Internal Medicine | 9055 Tamar Dr, Columbia, MD 21045-2756 | 2016-06-23 |
| 1871949917 | Penelope Scott, Md | Internal Medicine | 11824 Falls Rd, Cockeysville, MD 21030-1605 | 2016-05-08 |
| 1598121337 | Dennis Frank | Internal Medicine | 6 Southgate Ave, Annapolis, MD 21401-2710 | 2016-01-09 |
| 1861812182 | Samuel Raouf | Internal Medicine | 5051 Greenspring Ave Ste 302, Baltimore, MD 21209-4358 | 2014-04-25 |
| 1265852263 | James Shelhamer | Internal Medicine | Room 2c145 Bldg 10, Nih, Bethesda, MD 20892-0001 | 2014-04-17 |
| 1922341338 | Aparna Balasubramanian | Internal Medicine | 1830 E Monument St Fl 5, Department of Pulmonary and Critical Care Medicine, Baltimore, MD 21287-0020 | 2013-04-03 |
| 1245578426 | Mary Joy Drass | Internal Medicine | 5565 Sterrett Pl Fl 5, Columbia, MD 21044-2665 | 2013-01-23 |
| 1699027151 | Jack E Zimmerman | Internal Medicine | 17612 Coatbridge Pl, Olney, MD 20832-2318 | 2012-10-09 |
| 1053675074 | William Brian Karkowsky | Internal Medicine | 6503 Sanzo Rd Apt F, Baltimore, MD 21209-2412 | 2012-06-25 |
| Find all providers with the same taxonomy | ||||
| City | GLEN BURNIE |
| Zip Code | 21061 |
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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.