Robert A. Heavin, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

01027777 Issued in IN

Practice address

8029 Main St
Coatesville, IN 46121-0133

Phone

(765) 386-7301

Fax

(765) 386-2108

NPI assigned

Aug 31, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in IN

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Major Hospital

  • General Acute Care Hospital
  • Shelbyville, IN
  • NPI 1174555692
  NPD (past)
• Putnam County Hospital

  • Critical Access Hospital
  • Greencastle, IN
  • NPI 1912947490
  NPD (past)

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1578675161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 133",
            "address_2": "8029 MAIN ST",
            "city": "COATESVILLE",
            "state": "IN",
            "postal_code": "461210133",
            "telephone_number": "765-386-7301",
            "fax_number": "765-386-2108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8029 MAIN ST",
            "city": "COATESVILLE",
            "state": "IN",
            "postal_code": "461210133",
            "telephone_number": "765-386-7301",
            "fax_number": "765-386-2108"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEAVIN",
        "first_name": "ROBERT",
        "middle_name": "A.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-31",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "IN",
            "license": "01027777",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD",
            "identifier": "000000374885",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alisha Burch
• Cherie Marie Busenbark, M.S. P.T.
• Coatesville Volunteer Fire Department Inc
• Jodi J Cox, P.T.
• Lauren Delay
• Joshua Masner, LAT, ATC
• Emily Christine O'Neal, ASN, RN
• Sheila Starbuck, OT
• Kelsie Vogleman
• Aubree Whicker

• Family Medicine Physician in Coatesville, IN
• Providers in Coatesville, IN by specialty
• Family Medicine Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.