MARK STEPHEN HEINE (NPI# 1366489403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366489403 |
| Entity Type | Individual |
| Full Name | MARK STEPHEN HEINE |
| Credential | PA-C |
| Practice Address |
2479 E Colorado Blvd Spearfish SD 57783-3204 |
| Mailing Address |
353 Fairmont Blvd Atten Medical Staff Services Rapid City SD 57701-6000 |
| Practice Telephone | 6056444460 |
| Practice Fax Number | 6056444461 |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2013-02-05 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363A00000X | Physician Assistant | 0450 | SD | Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457483919 | Mark Austin Heine | Counselor | 208 Sutton Way, Grass Valley, CA 95945-4144 | 2007-03-11 |
| 1336111608 | Mark Dieter Heine | Psychiatry & Neurology | 4004 Ben Franklin Blvd, Durham, NC 27704 | 2006-02-02 |
| Street Address |
2479 E COLORADO BLVD |
| City | SPEARFISH |
| State | SD |
| Zip Code | 57783-3204 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063403962 | Mark T. Buchman | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2005-10-31 |
| 1639628381 | James Jeffery | Nurse Practitioner | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2016-09-22 |
| 1104205020 | Monument Health Network, Inc. | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2015-05-26 |
| 1811375496 | Monument Health Network, Inc. | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2015-05-14 |
| 1962716761 | Ray Byron Jensen | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2010-08-04 |
| 1518292101 | Regional Health Physicians Inc | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2009-10-15 |
| 1780812644 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2009-06-30 |
| 1598952822 | Wesley W Broeder | Physician Assistant | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2007-10-01 |
| 1205029683 | Regional Health Physicians Inc | Clinic/Center | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2007-08-20 |
| 1609071562 | Kipp A. Gould | Orthopaedic Surgery | 2479 E Colorado Blvd, Spearfish, SD 57783 | 2007-06-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386091338 | Acupuncture of The Black Hills, LLC | Acupuncturist | 144 N. Main St., Spearfish, SD 57783 | 2016-05-19 |
| 1568695013 | Krew Enterprises, Inc Bda Comfort Keepers, 490 | Home Health | 119 East Grant Street, Ste 1, Spearfish, SD 57783 | 2009-09-01 |
| 1518193093 | Lorri A. Riley, Dpm PC | Podiatrist | 1410 North Ave #1, Spearfish, SD 57783 | 2009-06-10 |
| 1104065317 | Heather Rae Glasford | Speech-Language Pathologist | 1107 Charles Street, Spearfish, SD 57783 | 2009-02-11 |
| 1861605230 | Justin Bruce Johnson | Chiropractor | 4029 E. Colorado Blvd, Spearfish, SD 57783 | 2007-05-08 |
| 1467670976 | Karin Wood | Counselor | 146 W. Illinois St., Ste A, Spearfish, SD 57783 | 2007-04-22 |
| 1205999315 | Black Hills Counseling Services | Counselor | 146 W Illinois Street, Suite A, Spearfish, SD 57783 | 2006-12-19 |
| 1154489920 | Brooke Melody Hvachovec Thompson | Occupational Therapist | Spearfish Regional Hospital, 1440 N Main Street, Spearfish, SD 57783 | 2006-12-05 |
| 1780758060 | Lincare Inc. | Durable Medical Equipment & Medical Supplies | 428 E Colorado Blvd, Spearfish, SD 57783 | 2006-11-20 |
| 1063584423 | Regional Health Physicians Inc | Durable Medical Equipment & Medical Supplies | 1420 N. 10th Street, Spearfish, SD 57783 | 2006-11-14 |
| Find all providers in zip 57783 | ||||
| Taxonomy Code | 363A00000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134577448 | Gregory Larson | Physician Assistant | 550 E Colorado Blvd, Spearfish, SD 57783-2776 | 2016-05-26 |
| 1326224627 | Queen City Regional Medical Clinic | Physician Assistant | 1420 N. 10th Street, Spearfish, SD 57783-1532 | 2008-01-16 |
| 1598952822 | Wesley W Broeder | Physician Assistant | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2007-10-01 |
| 1942313374 | Lynette R Siewert | Physician Assistant | 550 Colorado Blvd, Spearfish, SD 57783 | 2006-08-17 |
| 1558316422 | Jami Kortan | Physician Assistant | 1445 North Ave, Spearfish, SD 57783 | 2006-05-22 |
| 1467425272 | Joanne Millis | Physician Assistant | 2479 E Colorado Blvd, Spearfish, SD 57783-3204 | 2006-02-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124627898 | Mikaela Theobald | Physician Assistant | 6101 E Quartzite Dr, Sioux Falls, SD 57110-3988 | 2020-10-22 |
| 1497368153 | Emily Christine Fedders | Physician Assistant | 512 Broadway St, Centerville, SD 57014-2225 | 2020-08-24 |
| 1467064097 | Kara Rae Koth | Physician Assistant | 4913 E 42nd St, Sioux Falls, SD 57110-4409 | 2020-08-17 |
| 1104448851 | Alexandra L Bachman-williams | Physician Assistant | 24337 Us Highway 212, Eagle Butte, SD 57625-7770 | 2020-05-15 |
| 1528695798 | Allison Mcentee | Physician Assistant | 3620 East Prairiewind Street, Sioux Falls, SD 57108 | 2020-03-26 |
| 1114551447 | Eugenie Coleman | Physician Assistant | 2510 Arrow St, Rapid City, SD 57702-4306 | 2020-02-25 |
| 1235780883 | Alyssa Jo Bump | Physician Assistant | 202 Island Dr Ste 1, Fort Pierre, SD 57532-7303 | 2019-09-25 |
| 1326608910 | Ashley Pommer | Physician Assistant | 8232 W 51st St, Sioux Falls, SD 57106-7861 | 2019-06-17 |
| 1801307202 | Patrick David Jones | Physician Assistant | 28th Mdg/sggp, 2900 Doolittle Dr., Ellsworth Afb, SD 57706 | 2017-10-12 |
| 1316465925 | Timothy Brian Olsen | Physician Assistant | 621 Ridge Road, Lead, SD 57754 | 2017-09-03 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on MARK STEPHEN HEINE.
| 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.