Provider Demographics
NPI:1780703272
Name:SARAH HEINER M.D. PC
Entity type:Organization
Organization Name:SARAH HEINER M.D. PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:SARAH
Authorized Official - Middle Name:CAROL
Authorized Official - Last Name:HEINER
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:702-778-8828
Mailing Address - Street 1:70 E HORIZON RIDGE PKWY
Mailing Address - Street 2:SUITE 100
Mailing Address - City:HENDERSON
Mailing Address - State:NV
Mailing Address - Zip Code:89002-7925
Mailing Address - Country:US
Mailing Address - Phone:702-778-8828
Mailing Address - Fax:702-778-8956
Practice Address - Street 1:70 E HORIZON RIDGE PKWY
Practice Address - Street 2:SUITE 100
Practice Address - City:HENDERSON
Practice Address - State:NV
Practice Address - Zip Code:89002-7925
Practice Address - Country:US
Practice Address - Phone:702-778-8828
Practice Address - Fax:702-778-8956
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-28
Last Update Date:2013-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV5417207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NVFI356AMedicare PIN
NVC96581Medicare UPIN