DR. GREGORY T HEEB (NPI# 1669483467) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669483467 |
| Entity Type | Individual |
| Full Name | DR. GREGORY T HEEB |
| Credential | M.D. |
| Practice Address |
1208 Driving Park Ave Newark NY 14513-1057 |
| Practice Telephone | 3153592640 |
| Practice Fax Number | 3153592640 |
| Mailing Telephone | 3153592640 |
| Mailing Fax Number | 3153592640 |
| Enumeration Date | 2006-08-10 |
| Last Update Date | 2010-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207R00000X | Internal Medicine | 206249 | NY | Allopathic & Osteopathic Physicians |
| Y | 208M00000X | Hospitalist | 206249 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | 01760567 | 05 |
| Street Address |
1208 DRIVING PARK AVE |
| City | NEWARK |
| State | NY |
| Zip Code | 14513-1057 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093714784 | Karen S. Roth | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2005-07-15 |
| 1972015527 | Monifi A Osmen | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2017-11-03 |
| 1790296820 | Caroline Cooper | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2017-10-16 |
| 1093199762 | Kuljinder Deol | Internal Medicine | 1208 Driving Park Ave, Newark, NY 14513 | 2015-07-13 |
| 1801201777 | Diane Della Porta | Registered Nurse | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2014-06-30 |
| 1689929663 | Deepak Advani | Internal Medicine | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2012-07-17 |
| 1760737951 | Rochester General Health System | Clinic/Center | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2012-07-13 |
| 1295068427 | Kathleen M Collins | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2009-09-04 |
| 1538224662 | Andrea Gefell | Physician Assistant | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2006-12-27 |
| 1215096482 | Beverly J Provo | Nurse Practitioner | 1208 Driving Park Ave, Newark, NY 14513-1057 | 2006-12-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881215648 | Susan Marie Oberdorf | Speech-Language Pathologist | 133 Elmwood, Newark, NY 14513 | 2020-05-04 |
| 1871077404 | Aisha E Wagner | Nurse Practitioner | 1304 Driving Park Avenue, Newark, NY 14513 | 2018-09-19 |
| 1689192817 | Melanie Swarthout | Case Manager/Care Coordinator | 150 Van Buren St., Newark, NY 14513 | 2017-09-08 |
| 1942650882 | Donna Joy Collins I | Speech-Language Pathologist | 848 Pierson Avenue, Newark, NY 14513 | 2016-06-21 |
| 1972952661 | Cj-mak Transportation, Inc. | Non-emergency Medical Transport (VAN) | 227 State Farm Road, Newark, NY 14513 | 2016-06-03 |
| 1306214473 | Stephanie Belli | Licensed Practical Nurse | 5904 Austin Road, Newark, NY 14513 | 2015-09-08 |
| 1992186712 | Nicole Harris | Nursing Facility/Intermediate Care Facility | 132 Willow Avenue, Newark, NY 14513 | 2015-06-17 |
| 1861802373 | Jeffrey Spencer | Urology | 1202 Driving Park Ave Ste 5, Newark, NY 14513 | 2014-05-06 |
| 1609126648 | Natasha Triplett | Student in an Organized Health Care Education/Training Program | 439 W. Maple Ave, Perkins Elementary, Newark, NY 14513 | 2012-09-18 |
| 1922377902 | Lisa E. Williams | Licensed Practical Nurse | 701 Peirson Ave., Newark, NY 14513 | 2011-12-21 |
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| Taxonomy Code | 208M00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Hospitalist |
| Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients. |
| Notes: Source: American Society of Hospital Medicine, 2007. http://www.hospitalmedicine.org/ [7/1/2009: definition aded] Additional Resources: Hospitalist is a recognized fellowship specialty program offered by many medical institutions. There is no board certification for the specialty at this point. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508042698 | St Francis Hospitalist Group LLC | Hospitalist | 131 Continental Dr, Suite 215, Newark, DE 19713-4305 | 2008-01-18 |
| 1598204398 | Select Specialty Hospital Zanesville Inc | Hospitalist | 2000 Tamarack Rd, 2nd Floor, Newark, OH 43055-1183 | 2017-02-14 |
| 1669927513 | Northward Hospital Associates | Hospitalist | 495 N 13th St, Newark, NJ 07107-1317 | 2016-08-22 |
| 1083009336 | Tobias Banks | Hospitalist | 4755 Ogletown Stanton Rd, Newark, DE 19718 | 2015-04-03 |
| 1104258979 | Maruf A Ali | Hospitalist | 1320 W Main St, Newark, OH 43055 | 2013-08-05 |
| 1487997896 | Gabrielle Alicia Farkas | Hospitalist | 1320 W Main St, Newark, OH 43055-1822 | 2013-04-03 |
| 1558626531 | Essex Physician Services PC | Hospitalist | 11 Central Ave, Newark, NJ 07102-3101 | 2012-07-06 |
| 1437418571 | Joseph James Santora Jr. | Hospitalist | 4755 Ogletown Stanton Rd, Newark, DE 19718-0001 | 2012-05-09 |
| 1376711044 | Abul Ahsan | Hospitalist | 1320 West Main Street, Newark, OH 43055 | 2008-02-15 |
| 1043415326 | Yuliya S Rehab | Hospitalist | 1200 Driving Park Ave, Newark, NY 14513 | 2007-06-18 |
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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.