Mark Albert Heaver, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

E7114 Issued in TX

Practice address

2942 S Buckner Blvd
Dallas, TX 75227-6907

Phone

(214) 381-1187

Fax

(214) 381-7213

NPI assigned

Feb 22, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

Kansas City University of Physicians and Surgeons, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Coral Medical Services, PLLCGroup PAC ID 7618146010, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy, Physician Assistant

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/

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.

• Coral Medical Services, PLLC

  • Family Medicine Physician
  • Dallas, TX
  • NPI 1952613465
  Medicare reassignment Care Compare group NPD
• Texas Physicians Primary Care, PLLC

  • Family Medicine Physician
  • Mesquite, TX
  • NPI 1962800284
  Medicare reassignment NPD
• Texas Physicians Primary Care, PLLC

  • Family Medicine Physician
  • Grand Prairie, TX
  • NPI 1417403957
  NPD
• Finneas Health

  • Occupational Therapist
  • Ventura, CA
  • NPI 1700264926
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371168000000",
    "number": "1295700227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2942 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276907",
            "telephone_number": "214-381-1187",
            "fax_number": "214-381-7213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2942 S BUCKNER BLVD",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752276907",
            "telephone_number": "214-381-1187",
            "fax_number": "214-381-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVER",
        "first_name": "MARK",
        "middle_name": "ALBERT",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2013-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "E7114",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Heavenly Christian Academy
• Heavenly Hands Family Medical Clinic, PLLC
• Heavenly Hands Hope Foundation
• Heavenly Love Homecare LLC
• Heavenly Works LLC
• Jamie Heavey, L.P.C.
• Skanda Kumar Hebbale, MD CANDIDATE
• Rose Mary Hebel
• Robert F Hebeler, MD
• Christopher A Hebert, MD

• Family Medicine Physician in Dallas, TX
• Providers in Dallas, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2013; 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.