Active NPI
Royce Lee Heffington Jr., PA-C
- Physician Assistant
- Prescott Valley, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 10883
- Practice address
- 3200 N Windsong Dr
Prescott Valley, AZ 86314-2255 - Phone
- (866) 974-2673
- Fax
- (866) 939-2673
- NPI assigned
- Feb 20, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | PA19587 | CA | |
| Physician Assistant | 363A00000X | 10883 | AZ | Primary |
Addresses
Primary practice location
3200 N Windsong Dr
Prescott Valley, AZ 86314-2255
Mailing address
18444 N 25TH Ave Ste 310
Phoenix, AZ 85023-1266
Phone (866) 974-2673
Other practice location 1
10 Harris Ct Bldg A
Suite A1
Monterey, CA 93940-5704
Phone (831) 643-9788
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19587 | CA | MD | Emergency Medicine Physician |
| 10883 | AZ | MD | Physician Assistant |
| PA19587 | CA | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Svmhs Clinics | Current | Accepting new patients | |
| Center for Orthopedic Research and Educatoin | Current | Accepting new patients | |
| Center for Orthopedic Research and Education, LLC | Physician Assistant | Past | Accepting new patients |
| Lancelot O Alexander MD a Medical Corporation | Past | Accepting new patients |
Locations
1840 N Jasper Dr
Ste 2
Flagstaff, AZ 86001
Phone (928) 226-2900
18444 N 25th Ave
Ste 210
Phoenix, AZ 85023
Phone (669) 742-6738
18444 N 25th Ave
Ste 310
Phoenix, AZ 85023
Phone (623) 241-8706
3200 N Windsong Dr
Prescott Vly, AZ 86314
Phone (928) 226-2900
10494 W Thunderbird Blvd
Ste 102
Sun City, AZ 85351
Phone (623) 975-8311
850 5th St
Gonzales, CA 93926
Phone (831) 657-3601
1033 Los Palos Dr
Salinas, CA 93901
Phone (831) 424-2866
Organizations & group practices 5
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.
-
- Multi-Specialty Clinic/Center
- Salinas, CA
- NPI 1093158347
-
- Orthopaedic Surgery Physician
- Phoenix, AZ
- NPI 1427095801
Physician Assistant
-
- Rural Health Clinic/Center
- Gonzales, CA
- NPI 1437549284
-
- Physical Therapist
- Mesa, AZ
- NPI 1275967408
-
- Specialist
- Salinas, CA
- NPI 1134279532
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1203465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1732147200000",
"number": "1306014626",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18444 N 25TH AVE STE 310",
"city": "PHOENIX",
"state": "AZ",
"postal_code": "850231266",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3200 N WINDSONG DR",
"city": "PRESCOTT VALLEY",
"state": "AZ",
"postal_code": "863142255",
"telephone_number": "866-974-2673",
"fax_number": "866-939-2673"
}
],
"practiceLocations": [
{
"address_1": "10 Harris Ct Bldg A",
"address_2": "Suite A1",
"address_purpose": "LOCATION",
"city": "Monterey",
"state": "CA",
"postal_code": "939405704",
"country_code": "US",
"telephone_number": "831-643-9788",
"fax_number": "831-657-0161",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEFFINGTON",
"first_name": "ROYCE",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-02-20",
"last_updated": "2024-11-21",
"certification_date": "2024-11-21",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "CA",
"license": "PA19587",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AZ",
"license": "10883",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Prescott Valley, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 21, 2024; 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.