HEATON FAMILY PRACTICE, LLC
NPI 1154588499
Family Medicine in Roaring Spring, PA

Q: What is Heaton Family Practice, LLC's NPI number?

The NPI number for Heaton Family Practice, LLC is 1154588499. It was assigned to this organization in the NPPES registry on May 22, 2008.

Q: What is Heaton Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Active since May 22, 2008CLIA 39D0184761 · Waiver

100 NASON DR STE 103, ROARING SPRING, PA 16673(814) 224-2213(814) 224-5879 Get Directions Write a Review

NPPES record last updated: May 22, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Heaton Family Practice, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEATON FAMILY PRACTICE, LLC (NPI 1154588499) is a healthcare organization registered as a family medicine in Roaring Spring, Pennsylvania and active in the NPI registry since May 2008. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Fred Matthew Heaton, Member, as its authorized official.

NPPES Registry Identity

NPI1154588499

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameHEATON FAMILY PRACTICE, LLC

Location Address100 NASON DR STE 103Roaring Spring, PA 16673-1201

Mailing Address100 Nason Dr Ste 103Roaring Spring, PA 16673-1201 · (814) 224-2213 · Fax (814) 224-5879

Phone(814) 224-2213

Fax(814) 224-5879

Organization SubpartNo

Authorized OfficialFred Matthew HeatonMember · (814) 224-2213

Enumeration DateMay 22, 2008

✔ NPI 1154588499 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in PA · OS013765

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

100 NASON DR STE 103, Roaring Spring, PA 16673

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 39D0184761

Heaton Family Practice LLC · Roaring Spring, PA

Active · expires Aug 31, 2026

CLIA Number39D0184761

Laboratory TypePhysician Office

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorFred Heaton Do

Laboratory Phone(814) 224-2213

Laboratory LocationHeaton Family Practice LLC111 Nson Drive Suite 103, Roaring Spring, PA 16673

CLIA data matches this NPI record on: Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heaton Family Practice, LLC's NPI number?

The NPI number for Heaton Family Practice, LLC is 1154588499. It was assigned to this organization in the NPPES registry on May 22, 2008.

Where is Heaton Family Practice, LLC located?

Heaton Family Practice, LLC is located at 100 Nason Dr Ste 103, Roaring Spring, PA 16673. The listed phone number is (814) 224-2213.

What is Heaton Family Practice, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Does Heaton Family Practice, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 39D0184761) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Heaton Family Practice, LLC was last updated on May 22, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.