Heinen Family Medicine

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

HEINEN FAMILY MEDICINE

Practice address

3845 Brookflower Circle LN
Lake Charles, LA 70605-0292

Phone

(337) 477-5988

NPI assigned

May 2, 2006

Organization subpart

No

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

Authorized official

Name

David P Heinen, MDNPI 1659388866

Title

Owner

Phone

(337) 477-5988

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in LA

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David P Heinen, MD

  • Family Medicine Physician
  • Lake Charles, LA
  • NPI 1659388866
  Medicare reassignment NPD Authorized official
• Clay Lawrence Hill, CFNP, APRN

  • Family Nurse Practitioner
  • Lake Charles, LA
  • NPI 1174956510
  Medicare reassignment NPD

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

{
    "created_epoch": "1146528000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686787200000",
    "number": "1588622575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 15",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706020015",
            "telephone_number": "337-477-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3845 BROOKFLOWER CIRCLE LN",
            "city": "LAKE CHARLES",
            "state": "LA",
            "postal_code": "706050292",
            "telephone_number": "337-477-5988"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEINEN FAMILY MEDICINE",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-02",
        "last_updated": "2023-06-15",
        "certification_date": "2023-06-15",
        "status": "A",
        "authorized_official_last_name": "HEINEN",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "337-477-5988",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4385507860",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1053368",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Patrick Hebert, LCSW #10194
• William Gerry Hebert, M.D.
• Andrew Michael Hedlesky
• Sophie Hedlesky, PT
• Traci Moss Hedrick, LAC, CCDP, CCGC
• Chad N Heinen, M.D.
• Christina Hensgens Heinen, SLP
• David P Heinen, MD
• Helping Hands Counseling, Inc
• Jackson Helton

• Family Medicine Physician in Lake Charles, LA
• Providers in Lake Charles, LA by specialty
• Family Medicine Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.