Klain, Heasley, Nettleton MD PC

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

MD041299L Issued in PA

Legal business name

KLAIN, HEASLEY, NETTLETON MD PC

Doing business as

Matthew N Klain MD-Blairsville

Practice address

25 Colony Blvd Ste 102
Blairsville, PA 15717-7971

Phone

(724) 459-9111

NPI assigned

May 6, 2010

Last updated

Sep 2, 2025By the provider in NPPES

Organization subpart

Yes

Parent organization

MEDVANTX, INC.As reported in NPPES

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

Authorized official

Name

Kenny Heine

Title

VP Operations

Phone

(858) 625-2990

Specialties & licenses 1

Addresses

Other names 1

• Matthew N Klain MD-Blairsville Doing business as

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Tax ID family

Klain Heasley Nettleton MD PC2 organizations share this tax ID, including this one

Part of

Medvantx Inc

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Klain, Heasley, Nettleton MD PC

  dba Matthew N Klain MD-Indiana

  • Non-Pharmacy Dispensing Site
  • Indiana, PA
  • NPI 1538413026
  NPD tax ID

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

{
    "created_epoch": "1273104000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1386962942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5626 OBERLIN DR",
            "address_2": "110",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921211705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25 COLONY BLVD STE 102",
            "city": "BLAIRSVILLE",
            "state": "PA",
            "postal_code": "157177971",
            "telephone_number": "724-459-9111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KLAIN, HEASLEY, NETTLETON MD PC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "MEDVANTX, INC.",
        "enumeration_date": "2010-05-06",
        "last_updated": "2025-09-02",
        "certification_date": "2024-04-01",
        "status": "A",
        "authorized_official_last_name": "HEINE",
        "authorized_official_first_name": "KENNY",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "858-625-2990"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "PA",
            "license": "MD041299L",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Matthew N Klain MD-Blairsville",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Indiana Pediatric Associates, P C a
• Indiana Regional Medical Center
• Indiana Total Therapy, Inc
• Jaclyn Bridges Jarvie, M.S. CCC-SLP
• Keystone Rehabilitation Systems Inc (Keystone Physical Therapy)
• Klain, Heasley, Nettleton MD PC
• Matthew N. Klain, MD
• Karen A Kocis, R.PH.
• Maggie Marie Kudlawiec
• Lisa M Kwisnek-Lamantia, DO

• Non-Pharmacy Dispensing Site in Blairsville, PA
• Providers in Blairsville, PA by specialty
• Non-Pharmacy Dispensing Site in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.