Active NPI
Gary Heaston, PA-C
- Physician Assistant
- Hill Air Force Base, UT
National Provider Identifier
1083672992
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 324779-1206
- Practice address
- 7238 6TH St
Jensen Occupational Medicine Center, BLDG. 249
Hill Air Force Base, UT 84056-5213 - Phone
- (801) 777-1157
- NPI assigned
- May 2, 2006
- Sex
- Male
- 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 | 324779-1206 | UT | Primary |
Addresses
Primary practice location
7238 6TH St
Jensen Occupational Medicine Center, BLDG. 249
Hill Air Force Base, UT 84056-5213
Mailing address
Jensen Occupational Medical Center
7238 6TH St. BLDG 249
Hill Air Force Base, UT 84056-5213
Phone (801) 777-1157
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 324779-1206 | UT | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1746576000000",
"number": "1083672992",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "JENSEN OCCUPATIONAL MEDICAL CENTER",
"address_2": "7238 6TH ST. BLDG 249",
"city": "HILL AIR FORCE BASE",
"state": "UT",
"postal_code": "840565213",
"telephone_number": "801-777-1157"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7238 6TH ST",
"address_2": "JENSEN OCCUPATIONAL MEDICINE CENTER, BLDG. 249",
"city": "HILL AIR FORCE BASE",
"state": "UT",
"postal_code": "840565213",
"telephone_number": "801-777-1157"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEASTON",
"first_name": "GARY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-02",
"last_updated": "2025-05-07",
"certification_date": "2025-03-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "UT",
"license": "324779-1206",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hill Air Force Base, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.