DR. KYLE B HERON (NPI# 1912918962) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912918962 |
| Entity Type | Individual |
| Full Name | DR. KYLE B HERON |
| Credential | MD |
| Practice Address |
4016 Dale Rd Modesto CA 95356-9268 |
| Practice Telephone | 2095710288 |
| Practice Fax Number | 2095710327 |
| Mailing Telephone | 2095710288 |
| Mailing Fax Number | 2093386156 |
| Enumeration Date | 2006-08-11 |
| Last Update Date | 2020-05-26 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
G83786 | CA | Allopathic & Osteopathic Physicians |
| N | 208VP0014X |
Pain Medicine Specialization: Interventional Pain Medicine |
G83786 | CA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CA | CAQH | 11628489 | 01 |
| Street Address |
4016 DALE RD |
| City | MODESTO |
| State | CA |
| Zip Code | 95356-9268 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679541528 | Benjamin J Remington | Specialist | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-03-08 |
| 1770104606 | Markus Jackson Md Inc | Anesthesiology | 4016 Dale Rd, Modesto, CA 95356-9268 | 2020-05-01 |
| 1548656937 | Markus Jackson | Anesthesiology | 4016 Dale Rd, Modesto, CA 95356-9268 | 2015-04-13 |
| 1619317716 | Gregory M Helbig Md Inc | Neurological Surgery | 4016 Dale Rd, Modesto, CA 95356-9268 | 2013-07-03 |
| 1679718753 | Benjamin J Remington M D Inc | Neurological Surgery | 4016 Dale Rd, Modesto, CA 95356-9268 | 2008-12-03 |
| 1023253101 | David B Bybee M D Inc | Neurological Surgery | 4016 Dale Rd, Modesto, CA 95356-9268 | 2008-12-03 |
| 1972761211 | Gregory M Helbig | Specialist | 4016 Dale Rd, Modesto, CA 95356-9268 | 2008-05-22 |
| 1174622146 | American Dental Surgery Centers, Inc. | Clinic/Center | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-09-22 |
| 1962508325 | Dat Thanh Do | Internal Medicine | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-09-15 |
| 1841230802 | John Richard Hamm | Internal Medicine | 4016 Dale Rd, Modesto, CA 95356-9268 | 2006-06-07 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649809021 | Amelia E Delgadillo | Licensed Vocational Nurse | 501 Triangle Rd, Modesto, CA 95356 | 2020-04-07 |
| 1689220279 | Meagan Veneman | Physical Medicine & Rehabilitation | 125 Hogue Rd, Modesto, CA 95356 | 2019-08-10 |
| 1497131213 | Hermes Guardian Transport | Non-emergency Medical Transport (VAN) | 4221 Erin Way, Modesto, CA 95356 | 2015-08-04 |
| 1811373640 | Melissa Ruiz | Marriage & Family Therapist | 5815 Stoddard Rd Suite 600, Modesto, CA 95356 | 2015-08-04 |
| 1922242866 | Lifecare Solutions Inc | Durable Medical Equipment & Medical Supplies | 500 Glass Ln Ste H, Modesto, CA 95356 | 2009-04-22 |
| 1659541647 | Ashley Allison Streeter | Dentist | 556 Lyell Dr, Modesto, CA 95356 | 2008-03-05 |
| 1265636013 | Margaret Kathleen Grisell | Orthopaedic Surgery | 4601 Dale Ave, Kaiser Modesto Medical Center, Orthopedic Surgery, Modesto, CA 95356 | 2007-06-14 |
| 1841412111 | Bobby Gene Boswell | Specialist/Technologist | 3908 Vintage Cove, Modesto, CA 95356 | 2007-05-03 |
| 1598892861 | Merritt Radiological Medical Group Inc | Radiology | 526 Charity Way, Modesto, CA 95356 | 2007-02-27 |
| 1396871091 | Michael Steven Beck | Social Worker | 4640 Spyres Way, Building B, Suite 7, Modesto, CA 95356 | 2007-02-26 |
| Find all providers in zip 95356 | ||||
| Taxonomy Code | 207LP2900X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Anesthesiology |
| Specialization | Pain Medicine |
| An anesthesiologist who provides a high level of care, either as a primary physician or consultant, for patients experiencing problems with acute, chronic and/or cancer pain in both hospital and ambulatory settings. Patient care needs are also coordinated with other specialists. |
| 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 Anesthesiology, 2007. http://www.theaba.org/; American Osteopathic Board of Anesthesiology, 2007, http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Anesthesiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Anesthesiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770104606 | Markus Jackson Md Inc | Anesthesiology | 4016 Dale Rd, Modesto, CA 95356-9268 | 2020-05-01 |
| 1447589353 | Jerome A Robson M D Inc | Anesthesiology | 500 Coffee Road, Suite E, Modesto, CA 95355-4241 | 2009-12-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912512567 | Clinicas Del Valle, Inc | Anesthesiology | 120 W. Cole Blvd, Ste. B, Calexico, CA 92231 | 2020-09-10 |
| 1609489418 | Cyrus Dadachanji Md Inc. | Anesthesiology | 34762 Midland Ave, Murrieta, CA 92563-8419 | 2020-08-31 |
| 1962050401 | Sky Anesthesia Inc. | Anesthesiology | 4477 W 118th St Ste 501, Hawthorne, CA 90250-2260 | 2019-08-28 |
| 1932671856 | North County Pain Institute | Anesthesiology | 940 E Valley Pkwy Ste K, Escondido, CA 92025-3441 | 2018-12-18 |
| 1285101824 | 16th Street Anesthesia Services Corp | Anesthesiology | 2323 16th St Ste 507, Bakersfield, CA 93301-3454 | 2018-11-01 |
| 1033697305 | Heyer Anesthesia PC | Anesthesiology | 1120 W La Veta Ave Ste 330, Orange, CA 92868-4231 | 2018-07-30 |
| 1982190229 | Algos Inc., A Medical Corporation | Anesthesiology | 12840 Riverside Dr Ste 208, Valley Village, CA 91607-3343 | 2018-07-10 |
| 1093200610 | Kevin Dinh Trinh, Md Inc. | Anesthesiology | 100 Fieldwood, Irvine, CA 92618 | 2018-06-26 |
| 1033616644 | Howard Siegel Md Inc | Anesthesiology | 8112 Milliken Ave Ste 202, Rancho Cucamonga, CA 91730-7473 | 2018-04-10 |
| 1780198952 | Unified Physician Associates Inc | Anesthesiology | 3200 S Bristol St Ste B, Santa Ana, CA 92704-6711 | 2017-11-27 |
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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.