JENNIFER DELIA HEFFERNAN


Address: 712 N Washington Ave Ste 415, Dallas, TX 75246-1634
Phone: 2148209115

JENNIFER DELIA HEFFERNAN (NPI# 1992781256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992781256
Entity Type Individual
Full Name JENNIFER DELIA HEFFERNAN
Credential MD
Practice Address 712 N Washington Ave Ste 415
Dallas
TX 75246-1634
Mailing Address Po Box 99335
Fort Worth
TX 76199-0335
Practice Telephone 2148209115
Practice Fax Number 2148209135
Mailing Telephone 8177352660
Mailing Fax Number 8177355441
Enumeration Date 2005-12-19
Last Update Date 2017-10-17
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207Q00000X Family Medicine M1751 TX Allopathic & Osteopathic Physicians
N 207QG0300X Family Medicine
Specialization: Geriatric Medicine
M1751 TX Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TX RAILROAD MEDICARE P00258017 01
TX 177453101 05
TX BCBS 8M6746 01

Other Providers JENNIFER HEFFERNAN

NPI Name Taxonomy Address Enumeration
1700202314 Jennifer Heffernan Social Worker 100 Campus Dr Ste 201, Morganville, NJ 07751-1253 2014-03-07
1942569504 Jennifer R Heffernan Physical Therapist 6521 N Andrews Ave, Fort Lauderdale, FL 33309-2131 2012-05-16
1275860389 Jennifer M Heffernan Nurse Practitioner 1555 Medical Dr, Pottstown, PA 19464-3224 2009-11-10

Office Location

Street Address 712 N WASHINGTON AVE STE 415
City DALLAS
State TX
Zip Code 75246-1634

Providers in the same location

NPI Name Taxonomy Address Enumeration
1013435205 Melissa Ann Ellis Nurse Practitioner 712 N Washington Ave Ste 415, Dallas, TX 75246 2017-09-07
1780955393 Jane Land Champion Nurse Practitioner 712 N Washington Ave Ste 415, Dallas, TX 75246-1634 2012-01-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396201356 Roseann Estrada Mendoza Nurse Practitioner 3600 Gaston Ave., Barnett Tower, Suite 711, Dallas, TX 75246 2019-02-14
1033683701 Marta Revilla-leon Dentist 3302 Gaston Avenue, College of Dentistry, Texas A&m Uni, Room 713, Dallas, TX 75246 2019-01-16
1912408170 Liza Johannesson Transplant Surgery Baylor University Medical Center, 3410 Worth Street, Ste 950, Dallas, TX 75246 2018-02-23
1841710266 Stephanie Chartier-plante Student in an Organized Health Care Education/Training Program 3501 Junius St, Jonsson Hospital, Dallas, TX 75246 2017-06-27
1528505096 Adam Bohnenblust Chiropractor 411 N Washington Ave Ste 2200, Dallas, TX 75246 2017-01-23
1699121327 Magnolia Pain Associates Pllc Pain Medicine 3801 Gaston Ave Ste 318- 320, Dallas, TX 75246 2016-05-12
1073969408 Apurva Yeluru Hospitalist 3500 Gaston Ave Ste 550, Dallas, TX 75246 2016-05-04
1134580533 Sp Alf Ops Co, LLC Assisted Living Facility 3922 Simpson Street, Dallas, TX 75246 2016-03-11
1386031185 Lisa Voigt Student in an Organized Health Care Education/Training Program 3501 Junius Street, Dallas, TX 75246 2015-04-20
1891107843 Jessica Shie Internal Medicine Baylor Scott & White - Hospital Medicine Dallas, 3600 Gaston Ave., Wadley #550, Dallas, TX 75246 2014-05-27
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Taxonomy Information

Taxonomy Code 207Q00000X
Grouping Allopathic & Osteopathic Physicians
Classification Family Medicine

Taxonomy Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition]
- Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences.
- Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1245853811 Forest Family Clinic, LLC Family Medicine 9550 Forest Ln Suite 606, Dallas, TX 75243-5905 2020-05-18
1104447937 Centenary Family & Urgent Care Family Medicine 8702 S Lancaster Rd Ste 160a, Dallas, TX 75241-6301 2020-05-04
1285274456 Genesis Health Partners Pllc Family Medicine 8390 Lbj Fwy Ste 1000b, Dallas, TX 75243-1188 2020-01-15
1194368266 Sierra Healthcare Network LLC Family Medicine 2727 Lbj Fwy Ste 326, Dallas, TX 75234-7478 2019-10-22
1184274896 Matilda N Nju Family Medicine 41 Kelso Way, Dallas, GA 30132-2618 2019-09-14
1992366488 Anmd Health Pllc Family Medicine 1910 Pacific Ave Suite 15700, Dallas, TX 75201 2019-06-25
1366908600 Advanced Wound Care of North Texas Pllc Family Medicine 13154 Coit Rd Ste 102d, Dallas, TX 75240-5787 2019-02-12
1932664935 Environmental Health Center - North Texas Pa Family Medicine 8345 Walnut Hill Ln Ste 220, Dallas, TX 75231-4205 2019-02-04
1679043723 Inwood Medical Clinic Inc. Family Medicine 2916 Inwood Rd, Dallas, TX 75235-7518 2018-12-03
1134698939 Cayla Schaner Family Medicine 3600 Gaston Ave Ste 1109, Dallas, TX 75246-1811 2018-11-21
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Competitor

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City DALLAS
Zip Code 75246

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Dataset Information

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.

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