DR. HENRY HEATON (NPI# 1053798900) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053798900 |
| Entity Type | Individual |
| Full Name | DR. HENRY HEATON |
| Credential | M.D. |
| Practice Address |
214 Sullivan St New York NY 10012-1354 |
| Practice Telephone | 2123853700 |
| Practice Fax Number | 2123853703 |
| Mailing Telephone | 2123853700 |
| Mailing Fax Number | 2123853703 |
| Enumeration Date | 2015-04-29 |
| Last Update Date | 2020-07-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | 303130 | NY | Allopathic & Osteopathic Physicians |
| Y | 207ND0101X |
Dermatology Specialization: MOHS-Micrographic Surgery |
303130 | NY | Allopathic & Osteopathic Physicians |
| N | 390200000X | Student in an Organized Health Care Education/Training Program | Student, Health Care |
| Street Address |
214 SULLIVAN ST |
| City | NEW YORK |
| State | NY |
| Zip Code | 10012-1354 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760770465 | Mary Fatimah Weening | Acupuncturist | 214 Sullivan St, Suite 3b, New York, NY 10012-1354 | 2011-07-14 |
| 1821563438 | Kristen Ann Franceschina | Physician Assistant | 214 Sullivan St, New York, NY 10012-1354 | 2018-10-10 |
| 1457887234 | Maria Geyman | Naturopath | 214 Sullivan St, Suite 3b, New York, NY 10012-1354 | 2017-05-11 |
| 1346622297 | Remede Naturopathics | Acupuncturist | 214 Sullivan St, 3b, New York, NY 10012-1354 | 2015-06-26 |
| 1588075386 | Andrew Jarad Peranteau | Dermatology | 214 Sullivan St, New York, NY 10012-1354 | 2014-05-14 |
| 1801219670 | Kara Nicole Peck | Physician Assistant | 214 Sullivan St, New York, NY 10012-1354 | 2014-01-29 |
| 1841627353 | Baokim Nguyen Bonelli | Physician Assistant | 214 Sullivan St, Suite/apt #, New York, NY 10012-1354 | 2013-09-28 |
| 1831521046 | Melanie S. Nevid | Physician Assistant | 214 Sullivan St, New York, NY 10012-1354 | 2013-07-30 |
| 1588929327 | Ryan Michael Neinstein | Specialist | 214 Sullivan St, New York, NY 10012-1354 | 2012-07-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609481514 | John James Makohen | Counselor | Greenwish House Mmtp, 190 Mercer St, New York, NY 10012 | 2020-09-09 |
| 1962016980 | Aliceia Dolma Carin | Acupuncturist | 51 Spring St #14, New York, NY 10012 | 2020-09-08 |
| 1073127544 | Stacy E Garrity | Nurse Practitioner | 453 W Broadway, New York, NY 10012 | 2020-09-02 |
| 1558863761 | Shurla S Perry | Counselor | 96 W Houston St, New York, NY 10012 | 2018-03-03 |
| 1295246361 | Charlotta Noelle Nutley-phillips | Speech-Language Pathologist | 654 Broadway #2f, 654 Broadway, New York, NY 10012 | 2017-10-17 |
| 1023496163 | Kelley Pauline Hershman | Counselor | 159 Bleecker St Apt 2a, New York, NY 10012 | 2015-05-08 |
| 1134514599 | Frank Joseph Vogt | Acupuncturist | 73 Spring St., Suite 201, New York, NY 10012 | 2015-04-02 |
| 1063816932 | Howard Schatz | Orthopaedic Surgery | 435 West Broadway, #2, New York, NY 10012 | 2014-10-21 |
| 1649680737 | Charlotte Aronin Birnbaum | Dermatology | 73 Spring Street, Suite 303, New York, NY 10012 | 2014-04-29 |
| 1841600988 | Jeffrey Cohen Mental Health Counseling, P.C. | Counselor | 14 East 4th Street, Suite 506, New York, NY 10012 | 2014-04-29 |
| Find all providers in zip 10012 | ||||
| Taxonomy Code | 207ND0101X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | MOHS-Micrographic Surgery |
| The highly-trained surgeons that perform Mohs Micrographic Surgery are specialists both in dermatology and pathology. With their extensive knowledge of the skin and unique pathological skills, they are able to remove only diseased tissue, preserving healthy tissue and minimizing the cosmetic impact of the surgery. Mohs surgeons who belong to the American College of Mohs Surgery (ACMS) have completed a minimum of one year of fellowship training at one of the ACMS-approved training centers in the U.S. |
| Notes: Source: American College of Mohs Surgery, 2007 [1/1/2008: added definition, added source] Additional Resources: Additional Resources: http://www.mohscollege.org/; American Board of Dermatology, 2007. http://www.abderm.org/ |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598225260 | Dermatology Laser and Surgery of Carnegie Hill Pllc | Dermatology | 1095 Park Ave Ste 1a, New York, NY 10128-1154 | 2019-03-20 |
| 1245651827 | Complete Skin & Laser Surgery PC | Dermatology | 225 E 64th St Fl 2, New York, NY 10065-6690 | 2013-12-26 |
| 1598043432 | Marmur Dermatology and Cardiology, Pllc | Dermatology | 12 E 87th St Suite 1a, New York, NY 10128-0501 | 2011-07-26 |
| 1255535993 | Weill Medical College of Cornell University | Dermatology | 1305 York Ave., 9th Floor, New York, NY 10021-4870 | 2007-06-14 |
| 1336291657 | Michael Jonathan Albom | Dermatology | 33 E 70th St, 1f, New York, NY 10021-4941 | 2007-01-17 |
| 1093899791 | The New York Aesthetic Consultants LLP | Dermatology | 260 East 66th Street, New York, NY 10021 | 2006-10-25 |
| 1548360795 | Desiree Ratner | Dermatology | 36 E 36th St Ste 204, New York, NY 10016-3441 | 2006-09-25 |
| 1982671814 | Jeanne Marie Franck | Dermatology | 16 E 98th St Ofc 1f, New York, NY 10029-6549 | 2006-02-28 |
| 1104817675 | Ariel Ostad | Dermatology | 897 Lexington Ave, New York, NY 10021-6103 | 2005-11-02 |
| 1134114655 | Ellen S Marmur | Dermatology | 12 East 87th Street, Suite 1a, New York, NY 10128-0501 | 2005-09-12 |
| Find all providers in NEW YORK | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.