Active NPI
Gaylene Heaton, OT-SC
- Surgical Assistant
- Hurley, WI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Assistant
- License
- 17-2770
- Practice address
- 502 Copper St Ste 5
Hurley, WI 54534-1386 - Phone
- (715) 563-0092
- NPI assigned
- Jun 30, 2017
- Last updated
- Mar 17, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgical Assistant | 246ZC0007X | 17-2770 | NU | Primary |
| Orthopedic Assistant | 246ZX2200X | 16-1140 | NU |
Addresses
Primary practice location
502 Copper St Ste 5
Hurley, WI 54534-1386
Mailing address
14337N Stateline Rd
Hurley, WI 54534
Phone (715) 360-1250
Other practice location 1
601 S 7th St
Ontonagon, MI 49953-1459
Phone (715) 563-0092
Other practice location 2
611 Veterans Pkwy
Woodruff, WI 54568-9195
Phone (715) 563-0092
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northwoods Family Orthopaedics, S.C. | Current | Accepting new patients | |
| Northwoods Family Orthopaedics S.C. | Current | Accepting new patients |
Locations
601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000
502 Copper St
Ste 5
Hurley, WI 54534
Phone (715) 561-4795
611 Veterans Pkwy
Woodruff, WI 54568
Phone (715) 358-8600
Interoperability endpoints
- https://api.platform.athenahealth.com/5096/brand/1/csg/1/fhir/r4
Organizations & group practices 2
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.
-
- Orthopaedic Surgery Physician
- Hurley, WI
- NPI 1982641353
-
- Durable Medical Equipment & Medical Supplies
- Hurley, WI
- NPI 1043665508
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1498780800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1740701614",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "14337N STATELINE RD",
"city": "HURLEY",
"state": "WI",
"postal_code": "54534",
"telephone_number": "715-360-1250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "502 COPPER ST STE 5",
"city": "HURLEY",
"state": "WI",
"postal_code": "545341386",
"telephone_number": "715-563-0092"
}
],
"practiceLocations": [
{
"address_1": "601 S 7th St",
"address_purpose": "LOCATION",
"city": "Ontonagon",
"state": "MI",
"postal_code": "499531459",
"country_code": "US",
"telephone_number": "715-563-0092",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "611 Veterans Pkwy",
"address_purpose": "LOCATION",
"city": "Woodruff",
"state": "WI",
"postal_code": "545689195",
"country_code": "US",
"telephone_number": "715-563-0092",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEATON",
"first_name": "GAYLENE",
"credential": "OT-SC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-06-30",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "246ZC0007X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Surgical Assistant",
"state": "NU",
"license": "17-2770",
"primary": true
},
{
"code": "246ZX2200X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other, Orthopedic Assistant",
"state": "NU",
"license": "16-1140",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hurley, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.