DR. JOHN TIMOTHY HEFFERNAN (NPI# 1972915627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972915627 |
| Entity Type | Individual |
| Full Name | DR. JOHN TIMOTHY HEFFERNAN |
| Credential | M.D. |
| Practice Address |
7308 Bridgeport Way W Ste 201 Lakewood WA 98499-8000 |
| Practice Telephone | 2535827257 |
| Practice Fax Number | 2535821617 |
| Mailing Telephone | 2535827257 |
| Mailing Fax Number | 2535821617 |
| Enumeration Date | 2014-05-29 |
| Last Update Date | 2020-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207X00000X | Orthopaedic Surgery | MD60968447 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 2154663 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1430 Tulane Ave, New Orleans, LA 701122632 | 5049885192 | |
| 1724 W Union Ave Ste 100, Tacoma, WA 984052099 | 2538305200 | 2537521160 |
| 2727 Hollycroft St Ste 410, Gig Harbor, WA 983351369 | 2533584002 | 2533584015 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316167042 | John William Heffernan | Audiologist-Hearing Aid Fitter | 11995 Sw 117th Ter, Miami, FL 33186-5105 | 2007-04-26 |
| 1639392657 | John Heffernan | Dentist | 100 Medical Park Way, Americus, GA 31709-3656 | 2007-04-10 |
| 1750818019 | John Casey Heffernan | Student in an Organized Health Care Education/Training Program | 7600 River Rd, North Bergen, NJ 07047-6217 | 2017-05-17 |
| 1417217795 | John Heffernan Jr. | Student in an Organized Health Care Education/Training Program | 525 E Market St, Akron, OH 44304-1619 | 2012-05-21 |
| 1225099344 | John C Heffernan | Internal Medicine | 1201 Pennsylvania Ave, Des Moines, IA 50316-2339 | 2006-03-29 |
| 1649243643 | John Philip Heffernan | Urology | 38 Powel Ave, Newport, RI 02840-2655 | 2006-02-09 |
| 1093791121 | John T. Heffernan | Ophthalmology | 1101 Madison St, Suite 580, Seattle, WA 98104-1306 | 2005-12-20 |
| Street Address |
7308 BRIDGEPORT WAY W STE 201 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255775219 | Albert Max D'heurle | Orthopaedic Surgery | 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499 | 2013-04-22 |
| 1700388196 | Angela Michelle Laney | Physician Assistant | 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499 | 2018-03-01 |
| 1588104350 | Abigail R. Browne | Physician Assistant | 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499 | 2017-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| Find all providers in zip 98499 | ||||
| Taxonomy Code | 207X00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255775219 | Albert Max D'heurle | Orthopaedic Surgery | 7308 Bridgeport Way W Ste 201, Lakewood, WA 98499 | 2013-04-22 |
| 1033391792 | Outreach Professional Services Inc | Orthopaedic Surgery | 14601 Detroit Rd, Suite 640, Lakewood, OH 44107 | 2007-12-04 |
| 1427063197 | Ezzat Wadih Wassef | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2006-07-30 |
| 1114921707 | Julian S Arroyo | Orthopaedic Surgery | 7308 Bridgeport Way W, Ste 201, Lakewood, WA 98499-8000 | 2005-06-10 |
| 1669934196 | Oco Care of Co, LLC | Orthopaedic Surgery | 255 Union Blvd Ste 150-237, Lakewood, CO 80228-1810 | 2019-04-03 |
| 1568809226 | Richard Sung Ahn | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2013-06-03 |
| 1982848099 | Andrew Jonathan Wassef | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712-1482 | 2009-04-21 |
| 1821263807 | Matthew V Jenkins | Orthopaedic Surgery | 7308 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8000 | 2008-04-29 |
| 1700920840 | Stephen Dinenberg | Orthopaedic Surgery | 2020 Wadsworth Blvd, Ste 14b, Lakewood, CO 80214-5728 | 2007-02-19 |
| 1710020755 | Long Beach-lakewood Orthopedic Institute | Orthopaedic Surgery | 5750 Downey Ave Ste 308, Lakewood, CA 90712 | 2007-02-15 |
| Find all providers in LAKEWOOD | ||||
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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.