Active NPIIndividual provider

Dr. Kevin D Heaton, DO

Family Medicine, Sports Medicine in Haverhill, Massachusetts

NPI Number1225202237
Practice location
62 Brown St Ste 303, Haverhill, MA 01830-6790
Fax
—
Last updated
June 18, 2024

Kevin D Heaton is a Family Medicine, Sports Medicine based in Haverhill, MA. Kevin D Heaton practices in Haverhill, MA and has the professional credentials of DO. The NPI Number for Kevin D Heaton is 1225202237 and holds a License No. 245591 (MA). The current practice location address for Kevin D Heaton is 62 Brown St Ste 303, Haverhill, MA 01830-6790 and can be reached out via phone at 978-794-1946.

Provider Profile Details

NPI Number
1225202237
Provider Name
Kevin D Heaton
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
62 Brown St Ste 303, Haverhill, MA 01830-6790
Phone Number
978-794-1946
Primary Taxonomy
Family Medicine, Sports Medicine · 207QS0010X
Sole Proprietor
No
Provider Enumeration Date
April 22, 2008
Last Update Date
June 18, 2024
Certification Date
June 18, 2024
NPI Status
Active

Provider Business Practice Location Address Details

Address
62 Brown St Ste 303
Haverhill, MA 01830-6790
Zip
01830-6790
Phone Number
978-794-1946
Haverhill, MA 01830Get directions →

Provider Business Mailing Address Details

Address
575 Turnpike St Ste 21
North Andover, MA 01845-5937
City
North Andover
State
MA
Zip
01845-5937
Phone Number
978-794-1946
Fax Number
978-794-2342

License Information

License Number (1)
245591
License State (1)
MA
Taxonomy (1)
Family Medicine · 207Q00000X
License Number (2)
15345
License State (2)
NH
Taxonomy (2)
Family Medicine · 207Q00000X
License Number (3)
15345
License State (3)
NH
Taxonomy (3)
Family Medicine, Sports Medicine · 207QS0010X
License Number (4)
245591
License State (4)
MA
Taxonomy (4)
Family Medicine, Sports Medicine · 207QS0010X · 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 Dr. Kevin D Heaton, DO?

The NPI number of Dr. Kevin D Heaton, DO is 1225202237. It was assigned on April 22, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Kevin D Heaton, DO?

Dr. Kevin D Heaton, DO is registered under the primary taxonomy Family Medicine, Sports Medicine (code 207QS0010X), licensed in MA under license number 245591.

Where does Dr. Kevin D Heaton, DO practice?

The practice location is 62 Brown St Ste 303, Haverhill, MA 01830-6790. The office can be reached at 978-794-1946 (phone).

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 1225202237 directly on the NPPES registry website.

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