Kurt W Heintzelman (NPI# 1598096950, PAC ID# 5799820809) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PSYCHIATRY.
| Nation Provider ID (NPI) | 1598096950 |
| PAC ID by PECOS | 5799820809 |
| Professional Enrollment ID | I20100301000485 |
| Full Name | Kurt W Heintzelman |
| Organization Legal Name | ACCESS BEHAVIORAL LLC |
| Address |
4725 Parkwick Dr Suite 109 Columbus OH 43228-6401 |
| Phone Number | 6149853112 |
| Gender | M |
| Medical School | OHIO STATE UNIVERSITY COLLEGE OF MEDICINE |
| Graduation Year | 1988 |
| Primary Specialty | PSYCHIATRY |
| Group Practice PAC ID | 1052595402 |
| Number of Group Practice Members | 30 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 360072 | FAIRFIELD MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 4725 Parkwick Dr, Suite 109, Columbus, OH 43228-6401 | 6149853112 | ACCESS BEHAVIORAL LLC |
| 8100 Ravines Edge Ct, Suite 200, Columbus, OH 43235-5426 | 6149853112 | ACCESS BEHAVIORAL LLC |
| Organization Legal Name | ACCESS BEHAVIORAL LLC |
| Physicians | 33 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Tracy L Pankey | Nurse Practitioner | Access Behavioral LLC | 2611 Wayne Ave, Bldg 61, Dayton, OH 45420-1833 |
| Gabrielle C Delarose | Nurse Practitioner | Access Behavioral LLC | 528 W Marion Rd, Unit C, Mount Gilead, OH 43338-1085 |
| Paraja Thakuria | Psychiatry | Access Behavioral LLC | 8100 Ravines Edge Ct, Suite 200, Columbus, OH 43235-5426 |
| Jaris Stern | Psychologist, Clinical | Access Behavioral LLC | 2611 Wayne Ave, Dayton, OH 45420-1833 |
| Sandra Harewood | Internal Medicine | Access Behavioral LLC | 2611 Wayne Ave, Dayton, OH 45420-1833 |
| Maryam Niazi | Nurse Practitioner | Access Behavioral LLC | 2611 Wayne Ave, Dayton, OH 45420-1833 |
| Lynda L Fenner | Clinical Social Worker | Access Behavioral LLC | 2611 Wayne Ave, Bldg 61, Dayton, OH 45420-1833 |
| Jeanne Sommer | Psychologist, Clinical | Access Behavioral LLC | 2611 Wayne Ave, Dayton, OH 45420-1833 |
| Kathleen S Pfeifer | Nurse Practitioner | Access Behavioral LLC | 2611 Wayne Ave, Dayton, OH 45420-1833 |
| Pravesh B Patel | Psychiatry | Access Behavioral LLC | 2611 Wayne Ave, Bldg 61, Dayton, OH 45420-1833 |
| Street Address |
4725 PARKWICK DR SUITE 109 |
| City | COLUMBUS |
| State | OH |
| Zip | 43228-6401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| John A Johnson | Psychiatry | Access Behavioral LLC | 4725 Parkwick Dr, Suite 109, Columbus, OH 43228-6401 |
| Indrani Naskar | Psychiatry | Access Ohio LLC | 4725 Parkwick Dr, Suite 100, Columbus, OH 43228-6401 |
| Sreeramulu R Vaka | Psychiatry | Access Behavioral LLC | 4725 Parkwick Dr, Suite 109, Columbus, OH 43228-6401 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Thomas E Wanko | Internal Medicine | Internal Medicine Consultants of Columbus Inc | 104 N Murray Hill Rd, Columbus, OH 43228-1524 |
| Timothy Edward Ryan | Family Medicine | 108 N Murray Hill Rd, Columbus, OH 43228-1524 | |
| Jeffrey Kaufman | Pulmonary Disease | Internal Medicine Consultants of Columbus Inc | 104 N Murray Hill Rd, Columbus, OH 43228-1524 |
| Robert A Palma | Internal Medicine | Internal Medicine Consultants of Columbus Inc | 104 N Murray Hill Rd, Columbus, OH 43228-1524 |
| Matthew J Majzun | Pulmonary Disease | Internal Medicine Consultants of Columbus Inc | 104 N Murray Hill Rd, Columbus, OH 43228-1524 |
| Kevin Olson | Family Practice | Columbus Health Professionals, Inc | 50 Old Village Rd, Suite 109, Columbus, OH 43228-1538 |
| Kristina S Fassett | Qualified Audiologist | Osup Community Outreach LLC | 165 N Murray Hill Rd, Columbus, OH 43228-1585 |
| Robert S Pema | Otolaryngology | Osup Community Outreach LLC | 165 N Murray Hill Rd, Columbus, OH 43228-1585 |
| Yixin Lin | Neurology | Osup Community Outreach LLC | 165 N Murray Hill Rd, Columbus, OH 43228-1585 |
| Mimi A Ghosh | Family Medicine | Osup Community Outreach LLC | 165 N Murray Hill Rd, Columbus, OH 43228-1585 |
| Find all physicians in zip 43228 | |||
| City | COLUMBUS |
| Zip Code | 43228 |
| Specialty | PSYCHIATRY |
| City + Specialty | COLUMBUS + PSYCHIATRY |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.