Mallory L Heath, PA-C

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

PA06890 Issued in TX

Practice address

4141 S Staples St Ste 300
Corpus Christi, TX 78411-0002

Phone

(361) 882-5560

Fax

(361) 882-6011

NPI assigned

Jul 14, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Mallory Heard Former name

Medicare fee-for-service enrollment

Enrolled in TX

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

South Texas Dermatology PLLCGroup PAC ID 6305092859, 12 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

75 of 100Reported as individual

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• South Texas Dermatology PLLC

  • MOHS-Micrographic Surgery Physician
  • Corpus Christi, TX
  • NPI 1356536494
  Medicare reassignment Care Compare group
• A. Lee Guinn Jr., MD PA

  • Internal Medicine Physician
  • Corpus Christi, TX
  • NPI 1295749588
  NPD (past)
• Wellmed Medical Group, PA

  • Internal Medicine Physician
  • San Antonio, TX
  • NPI 1437156486
  NPD (past)

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

{
    "created_epoch": "1310601600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1494892800000",
    "number": "1215225909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4141 S STAPLES ST STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784110002",
            "telephone_number": "361-882-5560",
            "fax_number": "361-882-6011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4141 S STAPLES ST STE 300",
            "city": "CORPUS CHRISTI",
            "state": "TX",
            "postal_code": "784110002",
            "telephone_number": "361-882-5560",
            "fax_number": "361-882-6011"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEATH",
        "first_name": "MALLORY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-07-14",
        "last_updated": "2017-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "TX",
            "license": "PA06890",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MALLORY",
            "last_name": "HEARD",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hearing Associates of Texas LLC
• Hearinglife Texas, LLC
• Heart of Grace Seniorcare LLC
• Heartland Counseling of South Texas, Inc.
• Jacqueline M Heath, M.S.,CCC/SLP
• Paul William Heath, MD
• Heaven Sent Concierge Services
• Heavenly Sent Incontinence Supply
• Douglas Hebert, CPO
• Julia Hebert, PT, DPT

• Surgical Physician Assistant in Corpus Christi, TX
• Providers in Corpus Christi, TX by specialty
• Surgical Physician Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2017; 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.

Verify at the official NPI Registry.