Active NPI
Heather Kontaxis Loving, PA
- Physician Assistant
- Bethesda, MD
National Provider Identifier
1104861566
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- C0002296
- Practice address
- 8600 Old Georgetown Rd
Bethesda, MD 20814-1422 - Phone
- (301) 896-3054
- NPI assigned
- Jun 19, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | C0002296 | MD | Primary |
| Emergency Medicine Physician | 207P00000X | C0002296 | MD |
Addresses
Primary practice location
8600 Old Georgetown Rd
Bethesda, MD 20814-1422
Mailing address
7856 Milkshed PL
Elkridge, MD 21075-6130
Phone (443) 755-0945
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, MD
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20040301001143 | DC | Practitioner - Physician Assistant | 4385531797 | Reassigns benefits to 1 organization |
| I20080320000263 | MD | Practitioner - Physician Assistant | 4385531797 | Reassigns benefits to 5 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Centennial Medical Group, PA | Current | Accepting new patients | |
| Centennial Medical Group, PA | Current | Accepting new patients | |
| First Call Medical Center LLC | Current | Accepting new patients | |
| First Call Medical Center LLC | Current | Accepting new patients | |
| First Call Medical Center LLC | Current | Accepting new patients | |
| Johns Hopkins Emergency Medical | Past | Accepting new patients |
Locations
6230 Old Dobbin Ln
Ste 230
Columbia, MD 21045
Phone (443) 312-2111
10981 Johns Hopkins Rd
Laurel, MD 20723
Phone (410) 694-7999
Organizations & group practices 10
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.
-
- Emergency Medicine Physician
- Glen Burnie, MD
- NPI 1215983853
MD
-
- Family Medicine Physician
- Ellicott City, MD
- NPI 1245953009
-
- Family Medicine Physician
- Clarksville, MD
- NPI 1336918275
-
- Urgent Care Clinic/Center
- Ellicott City, MD
- NPI 1841913613
-
- Urgent Care Clinic/Center
- Columbia, MD
- NPI 1962269845
-
- Emergency Care Clinic/Center
- Columbia, MD
- NPI 1922098466
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150675200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1186704000000",
"number": "1104861566",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7856 MILKSHED PL",
"city": "ELKRIDGE",
"state": "MD",
"postal_code": "210756130",
"telephone_number": "443-755-0945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8600 OLD GEORGETOWN RD",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208141422",
"telephone_number": "301-896-3054"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOVING",
"first_name": "HEATHER",
"middle_name": "KONTAXIS",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-19",
"last_updated": "2007-08-10",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MD",
"license": "C0002296",
"primary": true
},
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "MD",
"license": "C0002296",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2007; 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.