Heaton, Diane M
Heaton, Diane M is an individual health care provider with primary practice located at 1120 S Utica Ave , Tulsa OK 74104-4012. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Therapeutic Radiology, Allopathic & Osteopathic Physicians / Radiation Oncology. Allopathic & Osteopathic Physicians / Radiation Oncology is her primary health care specialty. Heaton, Diane M can be contacted via phone (918) 774-2071.Contact Information
Primary practice address
1120 S Utica Ave
Tulsa OK 74104-4012
Phone: (918) 774-2071
Fax: (918) 579-8204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Therapeutic Radiology | 2085R0203X | 18768 | Oklahoma |
| Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 18768 | Oklahoma |
Profile Details
| NPI number | 1629067962 |
|---|---|
| LBN Legal business name | Heaton, Diane M |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Oct 19th, 2005 |
| Last updated | Apr 2nd, 2026 - about 6 months ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1629067962 | NPPES |
| Oklahoma | Other | 920001079 | RAILROAD MEDICARE |
| Oklahoma | MEDICAID | 100056850A | RAILROAD MEDICARE |
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