Larry Travis Heap, PA-C
Larry Travis Heap, PA-C is a Physician Assistant in Eagar, Arizona. Qualified in 2004, 22 years ago. Practices with Active Vital Care LLC, a 19-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Arizona.
- Years since qualifying
- 22
- Licensed in
- AZ
- In the registry since
- 2006
What do these letters mean?
- PA-C — Physician Assistant, Certified
- A physician assistant who holds current national certification.
Practice location Address checks out
606 N Main StEagar, AZ 85925-9813
Phone: (928) 333-5333
Fax: (928) 333-5100
Show map & directions
Directions in Google Maps · Apple Maps · OpenStreetMap
Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Medical Physician Assistant (primary) | Taxonomy 363AM0700X · Licence 3048 (AZ) |
|---|
Record details
| NPI number | 1366418113 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Credentials | PA-C |
| Sole proprietor | No |
| NPI enumerated | February 23, 2006 |
| Last updated in NPPES | November 21, 2007 |
| Mailing address | Po Box 1610, Springerville, AZ 85938-1610 |
Medicare enrollment
| Medicare specialty | PHYSICIAN ASSISTANT |
|---|---|
| Medical school | OTHER |
| Graduated | 2004 (22 years in practice) |
| Group practice | Active Vital Care Llc — 19 clinicians |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
| Telehealth | Offers telehealth services |
| Practice locations | 2 on file with Medicare |