Heather Bacala MD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HEATHER BACALA MD

Practice address

6850 N Durango Dr Ste 401
Las Vegas, NV 89149-4598

Phone

(702) 463-2981

Fax

(702) 463-2883

NPI assigned

Mar 10, 2022

Organization subpart

No

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

Authorized official

Name

Heather Bacala, MDNPI 1114281706

Title

Physician

Phone

(702) 463-2981

Specialties & licenses 1

Addresses

Other names 1

• MyOBGYN Doing business as

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Heather Kay Bacala, M.D.

  • Obstetrics & Gynecology Physician
  • Las Vegas, NV
  • NPI 1114281706
  NPD Authorized official

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

{
    "created_epoch": "1646870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646870400000",
    "number": "1215685136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 401",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494598",
            "telephone_number": "702-463-2981",
            "fax_number": "702-463-2883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6850 N DURANGO DR STE 401",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891494598",
            "telephone_number": "702-463-2981",
            "fax_number": "702-463-2883"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHER BACALA MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-10",
        "last_updated": "2022-03-10",
        "certification_date": "2022-03-10",
        "status": "A",
        "authorized_official_last_name": "BACALA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "702-463-2981",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MyOBGYN",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ciara Lyn Heath, RD
• Franklin Dale Heath Jr., PROGRAM DIRECTOR
• Mark Heath
• Michael Eugene Heath, D.C.
• Shawna Lynn Heath
• Elizabeth Heathman
• Gina Heathmon
• Elexis Rachelle Heaton
• Miranda Heaton
• Stephen James Heaton, MSW

• Obstetrics & Gynecology Physician in Las Vegas, NV
• Providers in Las Vegas, NV by specialty
• Obstetrics & Gynecology Physician in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.