Herman Charles Heikkenen, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

32037 Issued in AZ

Practice address

1003 Division St
Ste 1 Rocky Mountain Medical PLLC
Prescott, AZ 86301

Phone

(928) 777-2425

Fax

(928) 777-9044

NPI assigned

Nov 8, 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 AZ

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

University of Texas Medical Branch at Galveston, 1994

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Yavapai Regional Medical Center Hospital, Prescott, AZ, CCN 030012

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: cheikkenen@rockymountainmedical.amazing-direct.com

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.

• Rocky Mountain Medical PLLC

  • Family Medicine Physician
  • Prescott, AZ
  • NPI 1285773549
  Medicare reassignment NPD Authorized official
• Amg-Livingston LLC

  dba Livingston Orthopedics and Sports Medicine

  • Orthopaedic Surgery Physician
  • Livingston, TN
  • NPI 1699869297
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Yavapai Community Hospital Association

  dba Yavapai Regional Medical Center

  • General Acute Care Hospital
  • Prescott, AZ
  • NPI 1902897820
  Care Compare affiliation

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

{
    "created_epoch": "1162944000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194912000000",
    "number": "1437228749",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2527",
            "address_2": "ROCKY MOUNTAIN MEDICAL PLLC",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86302",
            "telephone_number": "928-777-2425",
            "fax_number": "928-777-9044"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1003 DIVISION ST",
            "address_2": "STE 1 ROCKY MOUNTAIN MEDICAL PLLC",
            "city": "PRESCOTT",
            "state": "AZ",
            "postal_code": "86301",
            "telephone_number": "928-777-2425",
            "fax_number": "928-777-9044"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIKKENEN",
        "first_name": "HERMAN",
        "middle_name": "CHARLES",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-08",
        "last_updated": "2007-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AZ",
            "license": "32037",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Walk Medical Clinic, PLLC
• Stephanie Lynn Hearl, LMT
• Stephanie Hearn, MS, CCC-SLP
• Heart Shop, LLC
• Gary Hees, LPC
• Thomas Jeffrey Hein, LPC
• Arthur Lynn Heitzman, PH.D.
• Helen Paslay Professional Nurse Practitioner Services PLLC
• Jeff Henderson, PHD
• Gregory Hendrickson, PHARM.D.

• Family Medicine Physician in Prescott, AZ
• Providers in Prescott, AZ by specialty
• Family Medicine Physician in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2007; 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.