Individual provider Active NPI

Dawn C. Heizman, M.D.

  • Obstetrics & Gynecology Physician
  • North Kansas City, MO
National Provider Identifier
1568605459
Registry record updated Aug 19, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2013027451 Issued in MO
Practice address
2790 Clay Edwards Drive, Suite 530
Meritas Health Pavilion for Women
North Kansas City, MO 64116-2792
Phone
(816) 452-3300
Fax
(816) 453-0677
NPI assigned
Apr 8, 2009
Last updated
Aug 19, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2013

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Obstetrics & Gynecology Physician 207V00000X 2013027451 MO Primary

Addresses

Primary practice location

2790 Clay Edwards Drive, Suite 530
Meritas Health Pavilion for Women
North Kansas City, MO 64116-2792

Mailing address

2790 Clay Edwards Drive, Suite 530
Meritas Health Corporation D/B/a Meritas Health Pavioli
North Kansas City, MO 64116
Phone (816) 452-3300

Other names 1

  • Dawn C. Charles Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO
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
I20131226000585 MO Practitioner - Obstetrics/Gynecology 6305073149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Meritas Health CorporationGroup PAC ID 6305748153, 492 clinicians

Practice addresses (Care Compare)

2790 Clay Edwards Dr
Suite 530
North Kansas City, MO 64116-3266
Phone (816) 452-3300

2800 Clay Edwards Dr
North Kansas City, MO 64116-3220
Phone (816) 691-2021

Hospital & facility affiliations

  • NKC Health Hospital, North Kansas City, MO, CCN 260096

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of the uterus1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Meritas Health Corporation Obstetrics & Gynecology CurrentSince Nov 1, 2013 Accepting new patients
Meritas Health Corporation CurrentSince Nov 1, 2013 Accepting new patients
Meritas Health Corporation Current Accepting new patients
Meritas Health Corporation Past Accepting new patients
North Kansas City Hospital Past Accepting new patients

Locations

2700 Clay Edwards Dr
Ste 240
North Kansas City, MO 64116
Phone (816) 455-0681

2790 Clay Edwards Dr
Ste 530
North Kansas City, MO 64116
Phone (816) 452-3300

Organizations & group practices 5

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.

Hospital & facility affiliations 2

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": "1239148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376870400000",
    "number": "1568605459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DRIVE, SUITE 530",
            "address_2": "MERITAS HEALTH CORPORATION D/B/A MERITAS HEALTH PAVIOLI",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "64116",
            "telephone_number": "816-452-3300",
            "fax_number": "816-453-0677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2790 CLAY EDWARDS DRIVE, SUITE 530",
            "address_2": "MERITAS HEALTH PAVILION FOR WOMEN",
            "city": "NORTH KANSAS CITY",
            "state": "MO",
            "postal_code": "641162792",
            "telephone_number": "816-452-3300",
            "fax_number": "816-453-0677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIZMAN",
        "first_name": "DAWN",
        "middle_name": "C.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-08",
        "last_updated": "2013-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MO",
            "license": "2013027451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "DAWN",
            "last_name": "CHARLES",
            "middle_name": "C.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Kansas City, MO

Sources for this page

Verify at the official NPI Registry.