Active NPI
Larry K Heath, MD
- Internal Medicine Physician
- Warrenton, VA
National Provider Identifier
1841305331
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 0101243352
- Practice address
- 493 Blackwell Rd
Suite 101a
Warrenton, VA 20186-2639 - Phone
- (540) 316-4325
- Fax
- (540) 316-4331
- NPI assigned
- Aug 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 0101243352 | VA | Primary |
| Internal Medicine Physician | 207R00000X | 32455 | WI |
Addresses
Primary practice location
493 Blackwell Rd
Suite 101a
Warrenton, VA 20186-2639
Mailing address
136 Linden Dr
Suite 104
Winchester, VA 22601-6900
Phone (540) 678-3588
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 31770600 | Medicaid | WI |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32455 | WI | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Robert C Dart MD PLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Warrenton, VA
- NPI 1821222183
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156118400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1312243200000",
"number": "1841305331",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "136 LINDEN DR",
"address_2": "SUITE 104",
"city": "WINCHESTER",
"state": "VA",
"postal_code": "226016900",
"telephone_number": "540-678-3588",
"fax_number": "540-678-9025"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "493 BLACKWELL RD",
"address_2": "SUITE 101A",
"city": "WARRENTON",
"state": "VA",
"postal_code": "201862639",
"telephone_number": "540-316-4325",
"fax_number": "540-316-4331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEATH",
"first_name": "LARRY",
"middle_name": "K",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-08-21",
"last_updated": "2011-08-02",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "VA",
"license": "0101243352",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "WI",
"license": "32455",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "31770600",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Warrenton, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.