Kevin T Heaton Do PC
Kevin T Heaton Do PC is a healthcare organization registered as Specialist in Klamath Falls, OR, holding Type 2 (organization) NPI 1073733671 since 2007. The authorized official on file is Jeannette Gansberg, Executive Director.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1073733671 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Kevin T Heaton Do PC |
| Practice address | 2200 BRYANT WILLIAMS DR, SUITE 1, Klamath Falls, OR, 97601 |
| Phone | 5418847746 |
| Fax | 5418840848 |
| Enumeration date | 2007-04-26 |
| Last updated in NPPES | 2023-03-07 |
Authorized official
| Name | Jeannette Gansberg |
|---|---|
| Title | Executive Director |
| Phone | 5412742902 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 174400000X | Specialist | Primary | DO22887 | OR |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 287483 | Medicaid | OR | — |
| XPY195175 | Other | CA | MEDICAL |
| DG2430 | Other | OR | RAIL ROAD MEDICARE |
| 4604977397601 | Other | OR | TRICARE |
| 831170000 | Other | OR | BLUE CROSS |
Copy-ready billing details
Provider: Kevin T Heaton Do PC NPI: 1073733671 Taxonomy: 174400000X (Specialist) Address: 2200 BRYANT WILLIAMS DR, SUITE 1, Klamath Falls, OR, 97601
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1821046962 | Anthony Hamilton | Individual | Physician Assistant | Klamath Falls, OR |
| 1942255302 | Aaron Tesman | Individual | Physician Assistant | Klamath Falls, OR |
| 1811929862 | Tracy Smith | Individual | General Practice Dentistry | Klamath Falls, OR |
| 1811919913 | Klamath Orthopedic Clinic PC | Organization | Specialist | Klamath Falls, OR |
| 1730275736 | Karl Knudsen | Individual | Orthopaedic Surgery Physician | Klamath Falls, OR |
| 1861543720 | Klamath Surgical Associates PC | Organization | Surgery Physician | Klamath Falls, OR |
| 1558581249 | Michael J Casey MD PC | Organization | Specialist | Klamath Falls, OR |
| 1578783189 | Edward L Van Tassel Do PC | Organization | Specialist | Klamath Falls, OR |
Verify this record
Cross-check NPI 1073733671 against the authoritative CMS record: view Kevin T Heaton Do PC on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
How current is this record?
Where is Kevin T Heaton Do PC located?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2023-03-07.