Active NPI
Klain, Heasley, Nettleton MD PC
Doing business as Matthew N Klain MD-Indiana
- Non-Pharmacy Dispensing Site
- Indiana, PA
National Provider Identifier
1538413026
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Non-Pharmacy Dispensing Site
- License
- MD422459
- Legal business name
- KLAIN, HEASLEY, NETTLETON MD PC
- Doing business as
- Matthew N Klain MD-Indiana
- Practice address
- 1265 Wayne Ave Ste 102
Indiana, PA 15701-3578 - Phone
- (724) 349-4411
- NPI assigned
- Nov 5, 2012
- Organization subpart
- Yes
- Parent organization
- MEDVANTX, INC.
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kenny Heine
- Title
- VP Ops
- Phone
- (858) 964-1508
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Non-Pharmacy Dispensing Site | 332900000X | MD422459 | PA | Primary |
Addresses
Primary practice location
1265 Wayne Ave Ste 102
Indiana, PA 15701-3578
Mailing address
5626 Oberlin Dr
110
San Diego, CA 92121-1705
Other names 1
- MATTHEW N KLAIN MD-INDIANA
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 39D0947096 | Matthew N Klain MD Laboratory | Certificate of waiver | Jun 8, 2028 |
National Provider Directory
National Provider Directory- Tax ID family
- Klain Heasley Nettleton MD
- Part of
- Tri - State Medical Group Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
dba Matthew N Klain MD-Blairsville
- Non-Pharmacy Dispensing Site
- Blairsville, PA
- NPI 1386962942
Locations
1265 Wayne Ave
Ste 102
Indiana, PA 15701
Phone (724) 349-4411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1756771200000",
"number": "1538413026",
"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": "1265 WAYNE AVE STE 102",
"city": "INDIANA",
"state": "PA",
"postal_code": "157013578",
"telephone_number": "724-349-4411"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KLAIN, HEASLEY, NETTLETON MD PC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "MEDVANTX, INC.",
"enumeration_date": "2012-11-05",
"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 OPS",
"authorized_official_telephone_number": "858-964-1508"
},
"taxonomies": [
{
"code": "332900000X",
"taxonomy_group": "",
"desc": "Non-Pharmacy Dispensing Site",
"state": "PA",
"license": "MD422459",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "MATTHEW N KLAIN MD-INDIANA",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Indiana, PA
Sources for this page
- 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.