GARY VAN HEUVELEN (NPI# 1629060256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1629060256 |
| Entity Type | Individual |
| Full Name | GARY VAN HEUVELEN |
| Credential | MD |
| Practice Address |
1440 E Mullan Ave Post Falls ID 83854-9064 |
| Mailing Address |
Po Box 3868 Spokane WA 99220-3868 |
| Practice Telephone | 5092281000 |
| Practice Fax Number | 5092529300 |
| Mailing Telephone | 5092281000 |
| Mailing Fax Number | 5092529300 |
| Enumeration Date | 2005-08-19 |
| Last Update Date | 2019-10-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2085R0001X |
Radiology Specialization: Radiation Oncology |
12377C | WY | Allopathic & Osteopathic Physicians |
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
M5310 | ID | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| ID | 003989600 | 05 | |
| RAILROAD MEDICARE | 920003975 | 01 |
| Street Address |
1440 E MULLAN AVE |
| City | POST FALLS |
| State | ID |
| Zip Code | 83854-9064 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891203501 | Jerry J Leonardi | Pharmacist | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2018-01-16 |
| 1982099412 | Corbin Daniel Jacobs | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2015-04-01 |
| 1790110252 | Travis A Geib | Social Worker | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2013-09-03 |
| 1417214420 | Nathanael David Gay | Internal Medicine | 1440 E Mullan Ave, Post Falls, ID 83854 | 2012-04-15 |
| 1104040104 | Jeffrey Warren Allen | Internal Medicine | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2007-04-12 |
| 1144309683 | Megan Nichole Whitmore | Physician Assistant | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2006-11-03 |
| 1215015490 | Kevin Patrick Mulvey | Internal Medicine | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2006-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487264032 | Esteem Counseling, LLC | Counselor | 1404 North Marcasite Court, Post Falls, ID 83854 | 2020-08-07 |
| 1497376685 | Teresa Marie Ragan | Registered Nurse | 1551 E Mullan Ave Bldg A, Ste 200b, Post Falls, ID 83854 | 2020-04-29 |
| 1245792910 | Samantha Patricia Bourassa | Specialist/Technologist | 2832 E Poleline Ave, Post Falls, ID 83854 | 2019-04-02 |
| 1003392598 | Joshua Welz | Psychologist | 3211 N Guinness Ln Apt 201, Post Falls, ID 83854 | 2018-07-17 |
| 1639608094 | Anthony Leodis Walls Jr. | Specialist/Technologist | 8732 N Meyer Rd, Post Falls, ID 83854 | 2017-06-08 |
| 1831635911 | Glenda Felts | Social Worker | 8561 N Cloverleaf Rd, # 22, Hauser, ID 83854 | 2017-01-12 |
| 1144763467 | Rachel M. Pope | Behavioral Analyst | 204 E 1st Ave Apt 4, Post Falls, ID 83854 | 2016-11-18 |
| 1871960393 | Randy Robinson | Massage Therapist | 2525 E Seltice Way Ste C, Post Falls, ID 83854 | 2015-09-01 |
| 1194112375 | James Bailey | Family Medicine | 185 W 4th Ave Ste B, Post Falls, ID 83854 | 2015-04-24 |
| 1033534953 | Lauren Tandy | Speech-Language Pathologist | 398 S. Corbin Rd., Post Falls, ID 83854 | 2014-02-28 |
| Find all providers in zip 83854 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982099412 | Corbin Daniel Jacobs | Radiology | 1440 E Mullan Ave, Post Falls, ID 83854-9064 | 2015-04-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972604510 | Steven Joseph Todd | Radiology | 500 S 11th Ave Ste 101, Pocatello, ID 83201-4877 | 2006-09-26 |
| 1477597045 | John E Gamboa | Radiology | 9357 W Emerald St, Boise, ID 83704-9752 | 2006-06-15 |
| 1508854290 | Norman Robert Willis | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2005-10-07 |
| 1447694922 | Daniel H. Miller | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2013-04-26 |
| 1144563370 | Christina T Gamboa | Radiology | 9357 W Emerald St, Boise, ID 83704 | 2013-04-06 |
| 1841587094 | Ryan James Bair | Radiology | 3100 Channing Way, Idaho Falls, ID 83404-7533 | 2011-07-07 |
| 1831424365 | Aaron Eugene Wagner | Radiology | 700 W Ironwood Dr, Ste130, Coeur D Alene, ID 83814-2656 | 2009-10-16 |
| 1790930311 | Radiation Oncology Associates, Pllc | Radiology | 504 6th St, Lewiston, ID 83501-2439 | 2008-11-24 |
| 1689714826 | Jennifer L. Robinson | Radiology | 500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 | 2007-02-07 |
| 1306941984 | Michael T. Callaghan M.d. & Associates, P.a. | Radiology | 500 S 11th Ave, Suite 101, Pocatello, ID 83201-4835 | 2006-09-14 |
| Find all providers with the same taxonomy | ||||
| City | POST FALLS |
| Zip Code | 83854 |
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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.