Individual provider Active NPI

Stephen J Heaney, M.D.

  • Anesthesiology Physician
  • Menomonee Falls, WI
National Provider Identifier
1477536282
Registry record updated Dec 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
32732-020 Issued in WI
Practice address
W180N8085 Town Hall Rd
Dept of Anesthesiology
Menomonee Falls, WI 53051-3518
Phone
(262) 251-1000
NPI assigned
Nov 25, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 32732-020 WI Primary

Addresses

Primary practice location

W180N8085 Town Hall Rd
Dept of Anesthesiology
Menomonee Falls, WI 53051-3518

Mailing address

W180N8085 Town Hall Rd
Dept of Anesthesiology
Menomonee Falls, WI 53051-3518
Phone (262) 251-1000

Other identifiers 1

IdentifierTypeStateIssuer
1477536282MedicaidWI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI
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

Enrollment IDStateProvider typePAC IDDetails
I20110203000475 WI Practitioner - AnesthesiologyPractitioner - Pediatric Medicine 0547440851 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
AnesthesiologyAlso: Pediatric Medicine
Education
University of Iowa, RJ & L Carver College of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Anesthesia and Pain Specialists SCGroup PAC ID 2365598406, 11 clinicians

Practice addresses (Care Compare)

3111 W Rawson Ave
Franklin, WI 53132-9417
Phone (414) 761-2600

Hospital & facility affiliations

  • Midwest Orthopedic Specialty Hospital Hospital, Franklin, WI, CCN 520205

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
32732-020WIMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Anesthesia and Pain Specialists SC Anesthesiology CurrentSince Oct 1, 2019 Accepting new patients
The Medical College of Wisconsin, Inc. Anesthesiology CurrentSince Mar 6, 2014 Accepting new patients
Anesthesia & Analgesia PC Anesthesiology PastSince Sep 27, 2020 Accepting new patients

Locations

3111 W Rawson Ave
Franklin, WI 53132
Phone (414) 325-4300

10101 S 27th St
Franklin, WI 53132
Phone (414) 325-4700

W180N8085 Town Hall Rd
Menomonee Fls, WI 53051
Phone (262) 257-5000

2301 N Lake Dr
Milwaukee, WI 53211
Phone (414) 270-4932

5000 W Chambers St
Milwaukee, WI 53210
Phone (414) 447-2089

8701 Watertown Plank Rd
Wauwatosa, WI 53226
Phone (414) 456-4100

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1132876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1477536282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "W180N8085 TOWN HALL RD",
            "address_2": "DEPT OF ANESTHESIOLOGY",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513518",
            "telephone_number": "262-251-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "W180N8085 TOWN HALL RD",
            "address_2": "DEPT OF ANESTHESIOLOGY",
            "city": "MENOMONEE FALLS",
            "state": "WI",
            "postal_code": "530513518",
            "telephone_number": "262-251-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEANEY",
        "first_name": "STEPHEN",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-25",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "WI",
            "license": "32732-020",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1477536282",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Menomonee Falls, WI

Sources for this page

Verify at the official NPI Registry.