Nicole Laine Heck (NPI# 1528494283, PAC ID# 4981830973) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICIAN ASSISTANT.
| Nation Provider ID (NPI) | 1528494283 |
| PAC ID by PECOS | 4981830973 |
| Professional Enrollment ID | I20131121001402 |
| Full Name | Nicole Laine Heck |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP, LLC |
| Address |
2723 S 7th St A Terre Haute IN 47802-3558 |
| Phone Number | 8122328164 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | PHYSICIAN ASSISTANT |
| Group Practice PAC ID | 9335135995 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 150023 | UNION HOSPITAL INC |
| Address | Phone | Organization |
|---|---|---|
| 2723 S 7th St A, Terre Haute, IN 47802-3558 | 8122328164 | PROVIDENCE MEDICAL GROUP, LLC |
| 2723 S 7th St C, Terre Haute, IN 47802-3558 | 8122998280 | PROVIDENCE MEDICAL GROUP, LLC |
| 2723 S 7th St D, Terre Haute, IN 47802-3558 | 8122385665 | PROVIDENCE MEDICAL GROUP, LLC |
| 2723 S 7th St G, Terre Haute, IN 47802-3558 | 8122328594 | PROVIDENCE MEDICAL GROUP, LLC |
| 2723 S 7th St L, Terre Haute, IN 47802-3558 | 8122321418 | PROVIDENCE MEDICAL GROUP, LLC |
| 2723 S 7th St M, Terre Haute, IN 47802-3558 | 8122345707 | PROVIDENCE MEDICAL GROUP, LLC |
| 4001 Wabash Ave C, Terre Haute, IN 47803-1647 | 8128770506 | PROVIDENCE MEDICAL GROUP, LLC |
| Organization Legal Name | PROVIDENCE MEDICAL GROUP, LLC |
| Physicians | 34 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rhonda West | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St C, Terre Haute, IN 47802-3558 |
| Joseph Y Abdayem | Family Medicine | Providence Medical Group, LLC | 2723 S 7th St L, Terre Haute, IN 47802-3558 |
| Imad George Koj | Internal Medicine | Providence Medical Group, LLC | 3903 S 7th St, 2e, Terre Haute, IN 47802-5710 |
| Mohammad Saiful Alam | Endocrinology | Providence Medical Group, LLC | 1600 N 3rd St, Terre Haute, IN 47804-4045 |
| Isaiah Pittman Iv | Endocrinology | Providence Medical Group, LLC | 3560 S 4th St, Terre Haute, IN 47802-5540 |
| Tony K Nasser | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Nawar F Mercho | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Henry Johannes Davis | Rheumatology | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Neil G Kabous | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Matthew H French | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Street Address |
2723 S 7TH ST A |
| City | TERRE HAUTE |
| State | IN |
| Zip | 47802-3558 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tony K Nasser | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Nawar F Mercho | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Henry Johannes Davis | Rheumatology | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Neil G Kabous | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Matthew H French | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Christen Lee Schmidt | Physician Assistant | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Elias A Dalloul | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| David Janicki | Internal Medicine | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Dakotah Michelle Horrall | Physician Assistant | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Thomas F Orman | Cardiovascular Disease (cardiology) | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kimberli Rae Pepelea | Clinical Social Worker | Life Changes Mental Health and Addictions LLC | 1537 S 7th St, Terre Haute, IN 47802-1610 |
| Wendy K Kennedy | Podiatry | 1543 S 7th St, Terre Haute, IN 47802-1610 | |
| Michael A Toney | Chiropractic | 1815 S 3rd St, Terre Haute, IN 47802-1919 | |
| Christopher S Yamamoto | Chiropractic | 2940 Professional Ln, Terre Haute, IN 47802-3300 | |
| Rhonda West | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St C, Terre Haute, IN 47802-3558 |
| Joseph Y Abdayem | Family Medicine | Providence Medical Group, LLC | 2723 S 7th St L, Terre Haute, IN 47802-3558 |
| Martha J Miller | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Amber Nicole Wilcox | Physician Assistant | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Jamiley C Maynard | Nurse Practitioner | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Eryn R Gorman | Physician Assistant | Providence Medical Group, LLC | 2723 S 7th St A, Terre Haute, IN 47802-3558 |
| Find all physicians in zip 47802 | |||
| City | TERRE HAUTE |
| Zip Code | 47802 |
| Specialty | PHYSICIAN ASSISTANT |
| City + Specialty | TERRE HAUTE + PHYSICIAN ASSISTANT |
Please comment or provide details below to improve the information on Nicole Laine Heck.
| 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.