Active NPI
Joseph Nicholas Heinen Sr., M.D.
- Family Medicine Physician
- Eunice, LA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD.204399
- Practice address
- 151 Leon Ave
Suite B
Eunice, LA 70535-3917 - Phone
- (337) 290-0199
- NPI assigned
- Mar 20, 2009
- Last updated
- Dec 11, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | MD.204399 | LA | Primary |
Addresses
Primary practice location
151 Leon Ave
Suite B
Eunice, LA 70535-3917
Mailing address
151 Leon Ave
Suite B
Eunice, LA 70535-3917
Phone (337) 290-0199
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1988537 | Medicaid | LA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in LA, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Louisiana State University School of Medicine in New Orleans, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
13515 Sundance Scape
San Antonio, TX 78245-3444
597 Tunica Dr W
Marksville, LA 71351-2628
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD.204399 | LA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brian N. Heinen, MD Apmc | Family Medicine | Current | Accepting new patients |
| Tunica Biloxi Tribe of Louisiana Tribal Office | Current | Accepting new patients | |
| Tunica- Biloxi Tribe of Louisiana Tribal Office | Current | Accepting new patients | |
| Southside Family Clinic LLC | Past | Accepting new patients |
Locations
151 Leon Ave
Eunice, LA 70535
Phone (337) 457-8166
151 Leon Ave
Ste B
Eunice, LA 70535
Phone (337) 457-8166
171 Melancon Rd
Marksville, LA 71351
Phone (318) 240-6435
597 Tunica Dr W
Marksville, LA 71351
Phone (318) 253-0677
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Southside Family Clinic LLC | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (100%) Operational/Managerial Control (100%) |
Jul 28, 2017 Jul 28, 2017 Jul 28, 2017 Jul 28, 2017 |
| Delcambre Family Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (5%) Operational/Managerial Control (50%) |
Jul 28, 2017 Jul 28, 2017 Jul 28, 2017 Jul 28, 2017 |
| Arnaudville Family Clinic | Rural health clinic | 5% Or Greater Direct Ownership Interest (50%) General Partnership Interest (50%) Corporate Officer (50%) Operational/Managerial Control (50%) |
May 25, 2017 May 25, 2017 May 25, 2017 May 25, 2017 |
Owned or controlled facilities with NPI records 3
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Delcambre Family Clinic
- Rural Health Clinic/Center
- Delcambre, LA
- NPI 1073109930
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
-
dba Arnaudville Family Clinic
- Rural Health Clinic/Center
- Arnaudville, LA
- NPI 1164112074
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
-
- Rural Health Clinic/Center
- Abbeville, LA
- NPI 1720508955
5% Or Greater Direct Ownership Interest, Corporate Officer, General Partnership Interest, Operational/Managerial Control
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Eunice, LA
- NPI 1902064520
-
- Family Medicine Physician
- Eunice, LA
- NPI 1518401652
-
dba Tunica Biloxi Rural Health Clinic
- Multi-Specialty Clinic/Center
- Marksville, LA
- NPI 1427885821
-
dba Arnaudville Family Clinic
- Rural Health Clinic/Center
- Arnaudville, LA
- NPI 1164112074
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1237507200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1316188386",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "151 LEON AVE",
"address_2": "SUITE B",
"city": "EUNICE",
"state": "LA",
"postal_code": "705353917",
"telephone_number": "337-290-0199"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "151 LEON AVE",
"address_2": "SUITE B",
"city": "EUNICE",
"state": "LA",
"postal_code": "705353917",
"telephone_number": "337-290-0199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEINEN",
"first_name": "JOSEPH",
"middle_name": "NICHOLAS",
"name_prefix": "Dr.",
"name_suffix": "Sr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-20",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "LA",
"license": "MD.204399",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1988537",
"state": "LA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Eunice, LA
- Heinen Medical Clinics LLC (Heinen Medical Eunice)
- Heinen Obstetrics and Gynecology LLC
- Heinen Senior Care
- Brian N. Heinen, M.D.
- Jade Nicholas Heinen, M.D.
- Monty N Heinen, MD
- Tommy G Hillman, DDS
- HIV-AIDS Alliance for Region Two (Open Health Care Clinic)
- HIV-AIDS Alliance for Region Two
- HMO & Associates LLC (Acadiana Medical Supply)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; 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.