Active NPIIndividual providerSole proprietor

Patrick Heaney, PA/C

Physician Assistant, Medical in Newport, Vermont

NPI Number1174626089
Practice location
186 Medical Village Dr, Newport, VT 05855-8537
Fax
802-334-3512
Last updated
July 8, 2021

Patrick Heaney is a Physician Assistant, Medical based in Newport, VT. Patrick Heaney practices in Newport, VT and has the professional credentials of PA/C. The NPI Number for Patrick Heaney is 1174626089 and holds a License No. 055-0030775 (VT). The current practice location address for Patrick Heaney is 186 Medical Village Dr, Newport, VT 05855-8537 and can be reached out via phone at 802-334-3520 and via fax at 802-334-3512.

Provider Profile Details

NPI Number
1174626089
Provider Name
Patrick Heaney
Credential
PA/C
Provider Entity Type
Individual
Gender
Male
Address
186 Medical Village Dr, Newport, VT 05855-8537
Phone Number
802-334-3520
Fax Number
802-334-3512
Primary Taxonomy
Physician Assistant, Medical · 363AM0700X
Sole Proprietor
Yes
Provider Enumeration Date
September 6, 2006
Last Update Date
July 8, 2021
Certification Date
July 8, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
186 Medical Village Dr
Newport, VT 05855-8537
State
Vermont
Zip
05855-8537
Phone Number
802-334-3520
Fax Number
802-334-3512
Newport, VT 05855Get directions →

Provider Business Mailing Address Details

Address
61 Home St
Berlin, NH 03570
City
Berlin
State
NH
Zip
03570
Phone Number
603-752-9252

License Information

License Number
055-0030775
License State
VT
Taxonomy
Physician Assistant, Medical · 363AM0700X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Patrick Heaney, PA/C?

The NPI number of Patrick Heaney, PA/C is 1174626089. It was assigned on September 6, 2006 and is currently active in the NPPES registry.

What is the specialty of Patrick Heaney, PA/C?

Patrick Heaney, PA/C is registered under the primary taxonomy Physician Assistant, Medical (code 363AM0700X), licensed in VT under license number 055-0030775.

Where does Patrick Heaney, PA/C practice?

The practice location is 186 Medical Village Dr, Newport, VT 05855-8537. The office can be reached at 802-334-3520 (phone) or 802-334-3512 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1174626089 directly on the NPPES registry website.

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