NPIMap

Individual provider Active NPI

Heather A Miklos, PA-C

  • Surgical Physician Assistant
  • Kittanning, PA
National Provider Identifier
1033219241
Registry record updated Jan 28, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
MA052696 Issued in PA
Practice address
500 Medical Arts BLDG
Suite 540
Kittanning, PA 16201-7137
Phone
(724) 543-4942
Fax
(724) 543-8865
NPI assigned
Sep 25, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2010

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X MA052696 PA Primary

Addresses

Primary practice location

500 Medical Arts BLDG
Suite 540
Kittanning, PA 16201-7137

Mailing address

500 Medical Arts BLDG
Suite 540
Kittanning, PA 16201-7137
Phone (724) 543-4942

Other names 1

  • Heather A Palermo Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070110000078 PA Practitioner - Physician Assistant 2769482082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Glade Run Medical Associates IncGroup PAC ID 3577696897, 27 clinicians

Practice addresses (Care Compare)

1 Nolte Dr
Kittanning, PA 16201-7111

500 Medical Arts BLDG
Kittanning, PA 16201-7137
Phone (724) 543-4942

77 Glade Dr
Kittanning, PA 16201-7140
Phone (724) 545-2205

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.9 of 100Reported as apm
Quality
85.02
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Glade Run Medical Associates CurrentSince Jul 1, 2010 Accepting new patients
Glade Run Medical Associates Inc CurrentSince Jul 1, 2010 Accepting new patients
Glade Run Medical Associates Inc Past Accepting new patients
Rodger W Althoff MD PC Past Accepting new patients
Glade Run Medical Associates Past Accepting new patients
The Foot and Ankle Wellness Center of Western Pennsylvania, Inc Past Accepting new patients

Locations

99 West Sunbury Rd
Ste 201
Butler, PA 16001
Phone (724) 282-0809

700 Medical Arts Bldg
Ste 710
Kittanning, PA 16201
Phone (724) 543-8626

500 Medical Arts Bldg
Ste 540
Kittanning, PA 16201
Phone (724) 543-4942

77 Glade Dr
Kittanning, PA 16201
Phone (724) 545-2205

1 Nolte Dr
Kittanning, PA 16201
Phone (724) 543-8109

116 Main St
Leechburg, PA 15656
Phone (724) 845-1211

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 7

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1159142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1264636800000",
    "number": "1033219241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 MEDICAL ARTS BLDG",
            "address_2": "SUITE 540",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017137",
            "telephone_number": "724-543-4942",
            "fax_number": "724-543-8865"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 MEDICAL ARTS BLDG",
            "address_2": "SUITE 540",
            "city": "KITTANNING",
            "state": "PA",
            "postal_code": "162017137",
            "telephone_number": "724-543-4942",
            "fax_number": "724-543-8865"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIKLOS",
        "first_name": "HEATHER",
        "middle_name": "A",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-09-25",
        "last_updated": "2010-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "PA",
            "license": "MA052696",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HEATHER",
            "last_name": "PALERMO",
            "middle_name": "A",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kittanning, PA

Sources for this page

Verify at the official NPI Registry.