Latisha Dawn Heinlen, MD

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

26317 Issued in OK

Practice address

6516 N Olie Ave Ste G
Oklahoma City, OK 73116-7399

Phone

(405) 608-8060

Fax

(405) 608-8070

NPI assigned

Jun 11, 2008

Sex

Female

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

Other names 1

• Miss Latisha Dawn Camp Former name

Medicare fee-for-service enrollment

Enrolled in OK

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

Specialty

RheumatologyAlso: Internal Medicine

Education

University of Oklahoma College of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Heritage Health Services LLCGroup PAC ID 7214314111, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Hospital Oklahoma City, Inc Hospital, Oklahoma City, OK, CCN 370013
• Community Hospital, LLC Hospital, Oklahoma City, OK, CCN 370203
• O U Medical Center Hospital, Oklahoma City, OK, CCN 370093
• Integris Health Edmond Hospital Hospital, Edmond, OK, CCN 370236

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Heritage Health Services LLC

  • Rheumatology Physician
  • Oklahoma City, OK
  • NPI 1275286080
  Medicare reassignment Care Compare group NPD
• HCC Duncan Inc

  • Hospitalist Physician
  • Duncan, OK
  • NPI 1013153543
  Medicare reassignment NPD
• The Physicians Group LLC

  • General Practice Physician
  • Oklahoma City, OK
  • NPI 1487620381
  Medicare reassignment NPD
• Concord Medical Group PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1083630610

  OK

  Medicare reassignment NPD
• Concord Medical Group of Texas PLLC

  • Emergency Medicine Physician
  • Lubbock, TX
  • NPI 1750790762
  NPD
• Hpi Physicians LLC

  • General Practice Physician
  • Edmond, OK
  • NPI 1205152600
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)
• Saints Medical Group, LLC

  • Family Medicine Physician
  • Oklahoma City, OK
  • NPI 1437195922
  NPD (past)
• Summit Medical Center

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1356574560
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Community Hospital LLC

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1275593337
  Care Compare affiliation
• Integris Health Edmond, Inc

  • General Acute Care Hospital
  • Edmond, OK
  • NPI 1720373103
  Care Compare affiliation
• Mercy Hospital Oklahoma City, Inc

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1184721722
  Care Compare affiliation
• Ou Medicine Inc.

  • General Acute Care Hospital
  • Oklahoma City, OK
  • NPI 1649794157
  Care Compare affiliation

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

{
    "created_epoch": "1213142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1529107200000",
    "number": "1649430810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6516 N OLIE AVE STE G",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167399",
            "telephone_number": "405-608-8060",
            "fax_number": "405-608-8070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6516 N OLIE AVE STE G",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731167399",
            "telephone_number": "405-608-8060",
            "fax_number": "405-608-8070"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6516 N Olie Ave",
            "address_purpose": "LOCATION",
            "city": "Oklahoma City",
            "state": "OK",
            "postal_code": "731167226",
            "country_code": "US",
            "telephone_number": "405-608-8060",
            "fax_number": "406-608-8070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEINLEN",
        "first_name": "LATISHA",
        "middle_name": "DAWN",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-06-11",
        "last_updated": "2018-06-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "OK",
            "license": "26317",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE MEDICAL LICENSE",
            "identifier": "26317",
            "state": "OK"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LATISHA",
            "last_name": "CAMP",
            "middle_name": "DAWN",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Robert Alan Hein, M.D.
• Heinen Physical Therapy, PC
• Brice C Heinen, DPT
• Lauren Ashley Heinen, DPT, CSCS
• Jonathan Edward Heinlen, MD
• Annabeth Cherie Heinz
• Alex Heinze, PA-C
• Heather Heizer, PA
• Ernest Helaire II, MA, LADC
• Heather G Helberg

• Rheumatology Physician in Oklahoma City, OK
• Providers in Oklahoma City, OK by specialty
• Rheumatology Physician in Oklahoma

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.
• 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.