Individual provider Active NPI

Mary Joan Heinly, PA

  • Physician Assistant
  • Houston, TX
National Provider Identifier
1518168103
Registry record updated Aug 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA01765 Issued in TX
Practice address
211 Highland Cross Dr Ste 275
Houston, TX 77073-1741
Phone
(281) 784-1500
NPI assigned
May 30, 2007
Last updated
Aug 24, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA01765 TX Primary

Addresses

Primary practice location

211 Highland Cross Dr Ste 275
Houston, TX 77073-1741

Mailing address

211 Highland Cross Dr Ste 275
Houston, TX 77073-1741
Phone (281) 784-1500

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA01765TXMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Greater Houston Emergency Physicians PLLC Past Accepting new patients
Memorial Hermann Health System Past Accepting new patients
Singleton Associates PA Physician Assistant Past Accepting new patients

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1180483200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282608000000",
    "number": "1518168103",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR STE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731741",
            "telephone_number": "281-784-1500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "211 HIGHLAND CROSS DR STE 275",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770731741",
            "telephone_number": "281-784-1500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINLY",
        "first_name": "MARY",
        "middle_name": "JOAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-30",
        "last_updated": "2010-08-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA01765",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.