MR. ALFRED P HEINEN (NPI# 1588658165) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1588658165 |
| Entity Type | Individual |
| Full Name | MR. ALFRED P HEINEN |
| Credential | PA-C |
| Practice Address |
5301 S Congress Ave Bldg. #300 Atlantis FL 33462-1149 |
| Practice Telephone | 5615484900 |
| Practice Fax Number | 5615484902 |
| Mailing Telephone | 5615484900 |
| Mailing Fax Number | 5615484902 |
| Enumeration Date | 2005-09-09 |
| Last Update Date | 2013-06-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
PA3697 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | 291938900 | 05 |
| Street Address |
5301 S CONGRESS AVE BLDG. #300 |
| City | ATLANTIS |
| State | FL |
| Zip Code | 33462-1149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598767543 | Marcos Agustin Nores | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5301 S Congress Ave, Suite 300, Atlantis, FL 33462-1149 | 2005-08-10 |
| 1861091308 | Herold Jean Francois | Nurse Practitioner | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-24 |
| 1942808803 | Collette Danielle Robbins | Registered Nurse | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-10-13 |
| 1528666591 | Alteon Health Florida Hm, LLC | Hospitalist | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-13 |
| 1952909061 | Alteon Health Florida, LLC | Emergency Medicine | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-10-12 |
| 1194341545 | Wislande Gilles | Nurse Practitioner | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-06-22 |
| 1346864642 | Kylie Perez | Nurse Anesthetist, Certified Registered | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-06-02 |
| 1801423868 | Can Jones | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-03-26 |
| 1134756190 | Tammy Luan | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1149 | 2020-03-26 |
| 1063048999 | Robert Clements | Student in an Organized Health Care Education/Training Program | 5301 S Congress Ave, Atlantis, FL 33462-1197 | 2020-03-23 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104449503 | Brightlife Institute, LLC | Clinic/Center | 2315 Shimmery Lane, Lake Worth, FL 33462 | 2020-05-20 |
| 1760024988 | Woodelyne Marc | Home Health | 1307 Flamingo Dr, Lantan, FL 33462 | 2019-10-09 |
| 1336624428 | Jennifer Lynn Jones | Nurse Practitioner | 5401 S Congress Ave Ste 105, Atlantis, FL 33462 | 2018-09-25 |
| 1427548445 | Publix Super Markets, Inc. | Pharmacy | 262 S Ocean Blvd, Manalapan, FL 33462 | 2018-05-15 |
| 1629567474 | Perfection Rx LLC | Pharmacy | 3248 Lantana Rd, Lake Worth, FL 33462 | 2018-05-08 |
| 1942797824 | Mayra Alejandra Tovar Castro | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-17 |
| 1285131169 | Samar Ibrahim Mohamed Huss Aboulenain | Student in an Organized Health Care Education/Training Program | 180 Jfk Drive, Suite 210, Atlantis, FL 33462 | 2018-04-09 |
| 1801392535 | Carla Ortega | Student in an Organized Health Care Education/Training Program | 180 Jkf Drive, Suite 210, Atlantis, FL 33462 | 2018-04-02 |
| 1811427438 | Sonia Camille | Behavior Technician | 49 Sioux Ln, Lantana, FL 33462 | 2017-06-15 |
| 1922536648 | Alyzza De La Uz Forte | Nurse Practitioner | 180 John F Kennedy Dr, 311, Atlantis, FL 33462 | 2017-05-25 |
| Find all providers in zip 33462 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518262476 | Lorena Rose Kratish | Physician Assistant | 130 Jfk Dr Ste 201, Atlantis, FL 33462-1142 | 2011-01-24 |
| 1649571498 | Joseph W Foldessy | Physician Assistant | 180 Jfk Dr Ste 100, Atlantis, FL 33462-6641 | 2010-11-10 |
| 1063552651 | Debra L. Baldwin | Physician Assistant | 180 Jfk Dr Ste 320, Atlantis, FL 33462-6641 | 2007-02-06 |
| 1376522136 | Kyle Young | Physician Assistant | 5301 S Congress Ave, Suite 300, Atlantis, FL 33462-1149 | 2006-01-11 |
| 1144214198 | Aleksandr V Potashnik | Physician Assistant | 5301 S Congress Ave, Bldg. #300, Atlantis, FL 33462-1149 | 2005-09-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598691 | Monica Nancy Ginocchio | Physician Assistant | 1020 Crosspointe Dr Ste 110, Naples, FL 34110-0918 | 2020-11-06 |
| 1427657055 | Alyson Ryall | Physician Assistant | 480 Ventura Pl, Vero Beach, FL 32963-4262 | 2020-10-24 |
| 1104436476 | Forrest Joseph Steslow | Physician Assistant | 1971 Brandywine Rd Apt 305, West Palm Beach, FL 33409-6800 | 2020-08-03 |
| 1063039576 | Joshua Bras Prewitt | Physician Assistant | 4800 Linton Blvd Ste 201, Delray Beach, FL 33445-6584 | 2020-06-30 |
| 1003443904 | Sheila Rhinehart | Physician Assistant | 981 Tarpon Ave, Sebastian, FL 32958-5147 | 2020-03-23 |
| 1952932493 | Lisel Spieler | Physician Assistant | 1173 Fins Up Ct, Daytona Beach, FL 32124-3719 | 2020-02-03 |
| 1326685991 | Nikolai X Lincavage | Physician Assistant | 29277 Us Highway 19 N # 29277, Clearwater, FL 33761-2102 | 2019-12-03 |
| 1356984686 | Zane K Jude | Physician Assistant | 1775 Linton Lake Dr, Delray Beach, FL 33445-6927 | 2019-10-18 |
| 1720635998 | Jose R Munoz | Physician Assistant | 4801 Esedra Ct Apt 203, Lake Worth, FL 33467-5019 | 2019-08-22 |
| 1811559578 | Sydney Gillen | Physician Assistant | 1222 S Orange Ave Fl 2, Orlando, FL 32806-1215 | 2019-07-02 |
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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.