MRS. LATISHA DAWN HEINLEN MD NPI 1649430810

NPI Information

NPI: 1649430810
Provider Name: MRS. LATISHA DAWN HEINLEN, MD
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Organization: THE PHYSICIANS GROUP, LLC

PECOS Registration: Yes

Address:
6516 N OLIE AVE
OKLAHOMA CITY, OK
ZIP 73116
Phone: (405) 608-8060
Get Directions

MRS. Latisha Dawn Heinlen, MD is a rheumatology internal medicine in Oklahoma City, OK with 16 years of experience. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. MRS. Latisha Dawn Heinlen, MD NPI is 1649430810. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF OKLAHOMA COLLEGE OF MEDICINE
Graduation Year:2008

The provider's business location address is:

6516 N OLIE AVE
OKLAHOMA CITY, OK
ZIP 73116-226
Phone: (405) 608-8060
Fax: (406) 608-8070

The NPI 1649430810 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/11/2008 and was last updated on 6/16/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	26317	OKLAHOMA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	26317	OTHER	OKLAHOMA	STATE MEDICAL LICENSE

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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