Active NPI
Alex Heinze, PA-C
- Physician Assistant
- Oklahoma City, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 10017 Forest Glade Dr
Oklahoma City, OK 73151-9125 - Phone
- (405) 301-6021
- NPI assigned
- Sep 14, 2023
- Last updated
- Sep 14, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
10017 Forest Glade Dr
Oklahoma City, OK 73151-9125
Mailing address
10017 Forest Glade Dr
Oklahoma City, OK 73151-9125
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1501 N Florence Ave
Suite 101 201 250 and 300
Claremore, OK 74017-3179
Phone (918) 579-3627
1501 N Florence Ave
Suite 201
Claremore, OK 74017-3189
Phone (918) 341-1886
20 E 34TH St
Sand Springs, OK 74063-4001
Phone (918) 245-9675
8801 S 101St E Ave
Tulsa, OK 74133-5716
Phone (918) 294-4000
8803 S 101St E Ave
Suite 385
Tulsa, OK 74133-5779
Phone (918) 250-2033
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ahs Oklahoma Physician Group LLC | Physician Assistant | Current | Accepting new patients |
Locations
1501 N Florence Ave
Ste 101
Claremore, OK 74017
Phone (918) 341-4532
1501 N Florence Ave
Ste 201
Claremore, OK 74017
Phone (918) 341-1886
20 E 34th St
Sand Springs, OK 74063
Phone (918) 245-9675
1145 S Utica Ave
Ste 110
Tulsa, OK 74104
Phone (918) 579-3825
1145 S Utica Ave
Ste 202
Tulsa, OK 74104
Phone (918) 560-3838
1809 E 13th St
Ste 300
Tulsa, OK 74104
Phone (918) 579-3070
8803 S 101st East Ave
Ste 130
Tulsa, OK 74133
Phone (918) 459-0027
Dept 1206
Tulsa, OK 74182
Interoperability endpoints
- aheinze916006@ahs.direct-ci.com
- https://epicproxy.ardenthealth.com/fhir/UPC/api/FHIR/R4
Organizations & group practices 2
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.
-
dba Utica Park Clinic
- Family Medicine Physician
- Tulsa, OK
- NPI 1235182775
Physician Assistant
-
- Rural Health Clinic/Center
- Claremore, OK
- NPI 1316579642
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Hillcrest Hospital Claremore
- General Acute Care Hospital
- Claremore, OK
- NPI 1023398807
-
dba Hillcrest Medical Center
- General Acute Care Hospital
- Tulsa, OK
- NPI 1629057229
-
dba Hillcrest Hospital Pryor
- General Acute Care Hospital
- Pryor, OK
- NPI 1780125005
-
dba HIllcrest Hospital South
- General Acute Care Hospital
- Tulsa, OK
- NPI 1750661534
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1694649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694649600000",
"number": "1073390738",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10017 FOREST GLADE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731519125"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10017 FOREST GLADE DR",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731519125",
"telephone_number": "405-301-6021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINZE",
"first_name": "ALEX",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-09-14",
"last_updated": "2023-09-14",
"certification_date": "2023-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Oklahoma City, OK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.