| Dr John Sloan Heavrin I, MD | |
|
1335 Phay Ave Ste B, Canon City, CO 81212-2349 | |
| (719) 285-2735 | |
| (719) 285-2915 |
| Full Name | Dr John Sloan Heavrin I |
|---|---|
| Gender | Male |
| Speciality | Obstetrics & Gynecology |
| Location | 1335 Phay Ave Ste B, Canon City, Colorado |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346298742 | NPI | - | NPPES |
| 01244755 | Medicaid | CO | |
| 160057345 | Other | CO | RR MEDICARE PIN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207V00000X | Obstetrics & Gynecology | 24475 (Colorado) | Primary |
| Entity Name | Catholic Health Initiatives Colorado |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1356783351 PECOS PAC ID: 8022927342 Enrollment ID: O20031215000462 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr John Sloan Heavrin I, MD 1335 Phay Ave Ste B, Canon City, CO 81212-2349 Ph: (719) 285-2735 | Dr John Sloan Heavrin I, MD 1335 Phay Ave Ste B, Canon City, CO 81212-2349 Ph: (719) 285-2735 |
Mollie T Miller, Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1339 Phay Ave, Canon City, CO 81212 Phone: 719-285-2700 Fax: 719-285-2455 | |
Dr. Manuel Rodriguez Iv, D.O. Obstetrics & Gynecology Medicare: Accepting Medicare Assignments Practice Location: 1338 Phay Ave Bldg D, Canon City, CO 81212 Phone: 719-285-2735 Fax: 719-285-2915 |