Caryl Joan Heaton, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

DO2653 Issued in ME

Practice address

6 Mines Rd # E2
Blue Hill, ME 04614-6408

Phone

(207) 266-9760

Fax

(207) 910-6545

NPI assigned

Oct 10, 2006

Last updated

Jul 1, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in ME

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

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

• Vna Home Health & Hospice

  dba Northern Light Home Care & Hospice

  • Home Health Agency
  • South Portland, ME
  • NPI 1245236306
  Medicare reassignment NPD
• Rowansom Dept of Pediatrics

  • Pediatrics Physician
  • Sewell, NJ
  • NPI 1275503203
  NPD (past)
• University Physician Associates of New Jersey Inc

  dba New Jersey Family Practice Center

  • Family Medicine Physician
  • Newark, NJ
  • NPI 1467462168
  NPD (past)

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

{
    "created_epoch": "1160438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719792000000",
    "number": "1063500767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 MINES RD # E2",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046146408",
            "telephone_number": "207-266-9760",
            "fax_number": "207-910-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 MINES RD # E2",
            "city": "BLUE HILL",
            "state": "ME",
            "postal_code": "046146408",
            "telephone_number": "207-266-9760",
            "fax_number": "207-910-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATON",
        "first_name": "CARYL",
        "middle_name": "JOAN",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-10-10",
        "last_updated": "2024-07-01",
        "certification_date": "2024-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "ME",
            "license": "DO2653",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "ME",
            "license": "DO2653",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3744507",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carl A. Germann, MD
• Michael David Gillins, DMD
• Megan Rebecca Granger, LCPC
• Walter Ross Greenlaw Jr., D.M.D.
• Hannaford Bros. Co., LLC (Hannaford Supermarket & Pharmacy)
• Stacey Henner Walden, DO
• Richard G. Hines, MD
• Margaret Holland, M.ED, LCPC-C
• Karyn Jessie Howe, FNP
• Lorraine H Huckel, PH.D

• Family Medicine Physician in Blue Hill, ME
• Providers in Blue Hill, ME by specialty
• Family Medicine Physician in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.