Physician Compare National (NPI:1265526974)

HEALTHCARE PROVIDER: ROY EARL HEATON D.O.

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1265526974
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608906110
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20100610000107
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEATON
	Individual professional last name
Provider First Name	ROY
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	NOVA SOUTHEASTERN COLLEGE OF OSTEO MEDICINE
	Individual professional's medical school
Graduation Year	1987
	Individual professional's medical school graduation year
Primary Specialty	FAMILY MEDICINE
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	2517 N GLEBE RD
	Group Practice or individual's line 1 address
City	ARLINGTON
	Group Practice or individual's city
State	VA
	Group Practice or individual's state
Zip Code	222073524
	Group Practice or individual's zip code (9 digits when available)
Phone Number	7035228404
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Hospital Affiliation CCN 1	490050
	Medicare CCN of hospital where individual professional provides service 1
Hospital Affiliation LBN 1	VIRGINIA HOSPITAL CENTER
	Legal business name of hospital where individual professional provides service 1
Professional Accepts Medicare Assignment	M