Organization 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
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Non-Pharmacy Dispensing SiteTaxonomy code 332900000X
License
MD422459 Issued in PA
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.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
39D0947096Matthew N Klain MD Laboratory1265 Wayne Avenue, Suite 102, Indiana, PA 15701Certificate of waiverJun 8, 2028

National Provider Directory

National Provider Directory
Tax ID family
Klain Heasley Nettleton MD2 organizations share this tax ID, including this one
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.

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.

Verify at the official NPI Registry.