DataLabs

datalabs.health made in the usa

Contact us Sign in | Documentation |

divider

Medicare/Medicaid Verification Programs divider

divider

Medicare Verification Program divider

divider

1891825576

NPI Code Detail

MEDICARE: GWEN HEATON, MD

MEDICARE: GWEN HEATON, MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	34004330A	IN
2	104100000X	Social Worker	33002012A	IN
3	1041C0700X	Clinical Social Worker	34001704A	IN
4	106H00000X	Marriage & Family Therapist	35000998A	IN
5	106H00000X	Marriage & Family Therapist	35000907A	IN
6	2084P0800X	Psychiatry Physician	01035782	IN
7	1041C0700X	Clinical Social Worker	34000171A	IN

General Provider Information

NPI Number	:	1891825576
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GWEN HEATON, MD

Provider Business Mailing Address
First Line	:	606 E MAIN ST
Second Line	:
City	:	MADISON
State	:	IN
Zip	:	47250-4708
Country	:	US
Telephone Number	:	812-265-4151
Fax Number	:	812-265-5028

Provider Business Practice Location Address
First Line	:	606 E MAIN ST
Second Line	:
City	:	MADISON
State	:	IN
Zip	:	47250-4708
Country	:	US
Telephone Number	:	812-265-4151
Fax Number	:	812-265-5028

Authorized Official
Title or Position	:	OWNER
Name	:	GWEN HEATON
Credential	:	MD
Telephone Number	:	812-265-4151

Provider Enumeration Date	:	03/06/2007
Last Update Date	:	09/11/2025

Similar Medicare Providers

1104923234 — DEBORA ELAINE WILLAGE PH.D.
Practice Location Address:

606 E MAIN ST
MADISON, IN
47250-4708

Practice Phone: 812-265-4151
Practice Fax: 812-265-5028

1558468678 — MR. ROBERT LEE PIMLOTT LMFT
Practice Location Address:

606 E MAIN ST
MADISON, IN
47250-4708

Practice Phone: 812-265-4151
Practice Fax: 812-265-5028

1518064781 — MRS. CONNIE THOMPSON CHAMBERS LCSW
Practice Location Address:

606 E MAIN ST
MADISON, IN
47250-4708

Practice Phone: 812-265-4151
Practice Fax: 812-265-5028

1780778985 — ANTHONY J SCHROEDER LCSW
Practice Location Address:

606 E MAIN ST
MADISON, IN
47250-4708

Practice Phone: 812-265-4151
Practice Fax: 812-265-5028

1578741484 — DR. HOWARD C. JACKSON, INC.
Practice Location Address:

606 E MAIN ST
MADISON, IN
47250-4708

Practice Phone: 812-265-2592
Practice Fax: 812-265-5604

1558819474 — MRS. KERRI LYNN FISHER LMHC
Practice Location Address:

606 E MAIN ST
MADISON, IN
47250-4708

Practice Phone: 813-230-9630
Practice Fax:

Directions to “GWEN HEATON, MD ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.