Individual provider Active NPI

Gail A. Heinz, PA-C

  • Medical Physician Assistant
  • Port Isabel, TX
National Provider Identifier
1407898513
Registry record updated Aug 29, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
PA08036 Issued in TX
Practice address
202 2ND St
Port Isabel, TX 78578-4100
Phone
(956) 943-1774
Fax
(956) 943-7938
NPI assigned
Jun 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA08036 TX Primary

Addresses

Primary practice location

202 2ND St
Port Isabel, TX 78578-4100

Mailing address

202 2ND St
Port Isabel, TX 78578-4100
Phone (956) 943-1774

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130723000689 TX Practitioner - Physician Assistant 9335183821 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
001110IAMDAthletic Trainer
853NEMDOccupational Therapist
PA08036TXMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Iowa Emergency Physicians, PC Past Accepting new patients
Cardiovascular Associates PC Past Accepting new patients
C.L. Anderson, Jr., M.D., PLLC Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: gail.heinz.1@19716.direct.athenahealth.com
  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.991

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472428800000",
    "number": "1407898513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "202 2ND ST",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785784100",
            "telephone_number": "956-943-1774",
            "fax_number": "956-943-7938"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "202 2ND ST",
            "city": "PORT ISABEL",
            "state": "TX",
            "postal_code": "785784100",
            "telephone_number": "956-943-1774",
            "fax_number": "956-943-7938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZ",
        "first_name": "GAIL",
        "middle_name": "A.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-12",
        "last_updated": "2016-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "TX",
            "license": "PA08036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Isabel, TX

Sources for this page

Verify at the official NPI Registry.