Timothy L Heston (NPI# 1699889014, PAC ID# 3870562416) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1699889014 |
| PAC ID by PECOS | 3870562416 |
| Professional Enrollment ID | I20040929001173 |
| Full Name | Timothy L Heston |
| Organization Legal Name | PS127ANDJN434 LLC |
| Address |
2655 Sw Wanamaker Rd H Vintage Medical Assoc Topeka KS 66614-2447 |
| Phone Number | 7854085228 |
| Gender | M |
| Credential | DO |
| Medical School | THE UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MEDICINE |
| Graduation Year | 2002 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 3173702883 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 170086 | STORMONT VAIL HOSPITAL |
| 170142 | MERCY REGIONAL HEALTH CENTER |
| 170016 | ST FRANCIS HEALTH CENTER |
| 170137 | LAWRENCE MEMORIAL HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 | 7854085228 | PS127ANDJN434 LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | PS127ANDJN434 LLC |
| Physicians | 5 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy L Sprague | Nurse Practitioner | Ps127andjn434 LLC | 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 |
| Mary Ann Hayden | Nurse Practitioner | Ps127andjn434 LLC | 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 |
| Lisa M Gladfelder | Nurse Practitioner | Ps127andjn434 LLC | 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 |
| Carolyn M Rea | Nurse Practitioner | Ps127andjn434 LLC | 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 |
| Street Address |
2655 SW WANAMAKER RD H VINTAGE MEDICAL ASSOC |
| City | TOPEKA |
| State | KS |
| Zip | 66614-2447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy L Sprague | Nurse Practitioner | Ps127andjn434 LLC | 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 |
| Mary Ann Hayden | Nurse Practitioner | Ps127andjn434 LLC | 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 |
| Lisa M Gladfelder | Nurse Practitioner | Ps127andjn434 LLC | 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 |
| Carolyn M Rea | Nurse Practitioner | Ps127andjn434 LLC | 2655 Sw Wanamaker Rd H, Vintage Medical Assoc, Topeka, KS 66614-2447 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tanja N Roth | Certified Clinical Nurse Specialist (cns) | 3601 Sw29th St, Suite 124, Topeka, KS 66614 | |
| Tiffany E Davidson | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Joshua W Freeman | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Piper M Hower | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Crystal J Sciarrino | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Lynda D Johnson | Nurse Practitioner | Take Care Health Kansas Pa | 2121 Sw Fairlawn Rd, Topeka, KS 66614-1501 |
| Lisa L Ellis | Clinical Social Worker | 3601 Sw 29th St, Suite 108, Topeka, KS 66614-2015 | |
| Renata H Coleman | Clinical Social Worker | 3601 Sw 29th St, Suite 105, Topeka, KS 66614-2015 | |
| Rhonda L Halverson | Clinical Social Worker | 3601 Sw 29th St, Suite 117, Topeka, KS 66614-2015 | |
| Brent D Cain | Clinical Social Worker | 3601 Sw 29th St, Suite 110, Topeka, KS 66614-2015 | |
| Find all physicians in zip 66614 | |||
| City | TOPEKA |
| Zip Code | 66614 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | TOPEKA + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Timothy L Heston.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.