DR. MICHAEL RILEY HEAPHY JR. (NPI# 1174620496) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174620496 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL RILEY HEAPHY JR. |
| Credential | M.D. |
| Practice Address |
4814 Sparks Blvd Sparks NV 89436 |
| Mailing Address |
640 W Moana Ln Reno NV 89509-4903 |
| Practice Telephone | 7753240699 |
| Practice Fax Number | 7753236814 |
| Mailing Telephone | 7753240699 |
| Mailing Fax Number | 7753236814 |
| Enumeration Date | 2006-09-20 |
| Last Update Date | 2018-09-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207N00000X | Dermatology | ME97172 | FL | Allopathic & Osteopathic Physicians |
| Y | 207ND0900X |
Dermatology Specialization: Dermatopathology |
17674 | NV | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
ME97172 | FL | Allopathic & Osteopathic Physicians |
| N | 207ND0900X |
Dermatology Specialization: Dermatopathology |
35.088653 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | MEDICARE PTAN | AB222U | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6001 Memorial Hwy, Tampa, FL 336154531 | 8138841626 | 8138860589 |
| 640 W Moana Ln, Reno, NV 895094903 | 7753240699 | 7752836814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821011057 | Michael Riley Heaphy Sr. | Dermatology | 750 W High St, Suite 300, Lima, OH 45801-2969 | 2006-07-26 |
| Street Address |
4814 SPARKS BLVD |
| City | SPARKS |
| State | NV |
| Zip Code | 89436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023300977 | Irene Helen Mannering | Dermatology | 4814 Sparks Blvd, Sparks, NV 89436 | 2011-05-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063049161 | Defined Anesthesia, LLC | Nurse Anesthetist, Certified Registered | 2430 Old Waverly Ct, Sparks, NV 89436 | 2020-03-26 |
| 1093208845 | D'artois T. Harper | Technician | 1963 E. Prater Way, Sparks, NV 89436 | 2018-06-07 |
| 1871014894 | Taylor Sexton | Behavior Technician | 4676 Chipwood Drive, Sparks, NV 89436 | 2017-06-29 |
| 1225408701 | Megan-vinh Quang Dinh | Dentist | 4760 Galleria Pkwy Ste 104, Sparks, NV 89436 | 2015-09-28 |
| 1396123410 | Capri Dubois | Community/Behavioral Health | 5200 South Los Altos Parkway, Unit 185, Sparks, NV 89436 | 2015-05-08 |
| 1750641627 | Randi Melvin Melvin | Behavioral Analyst | 3723 Arcturas Ct, Sparks, NV 89436 | 2012-05-24 |
| 1750661559 | Timothy D. Mckenna | Counselor | 480 Galletti Wy, 8b & 8c, Sparks, NV 89436 | 2011-08-24 |
| 1487895405 | Susan Mary Field | Nurse Practitioner | 5070 Ion Dr Ste 100, Sparks, NV 89436 | 2009-03-20 |
| 1912145046 | Joseph Charles Ravelli | Specialist/Technologist, Other | 6740 Bambey Dr, Sparks, NV 89436 | 2009-01-28 |
| 1609027663 | Raleys | Pharmacy | 2389 Wingfield Hills Road, Sparks, NV 89436 | 2008-10-08 |
| Find all providers in zip 89436 | ||||
| Taxonomy Code | 207ND0900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| Specialization | Dermatopathology |
| A dermatopathologist has the expertise to diagnose and monitor diseases of the skin including infectious, immunologic, degenerative and neoplastic diseases. This entails the examination and interpretation of specially prepared tissue sections, cellular scrapings and smears of skin lesions by means of routine and special (electron and fluorescent) microscopes. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/; American Osteopathic Board of Dermatology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Dermatology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871917260 | Hugo Robert Paulson | Dermatology | 2650 N. Tenaya Way, Ste. 208, Las Vegas, NV 89128-1104 | 2014-02-06 |
| 1922427509 | Amin Hedayat | Dermatology | 4230 Burnham Ave, Las Vegas, NV 89119-5408 | 2014-04-10 |
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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.