Provider Demographics
NPI:1023246493
Name:HEIMES, JESSICA K (DO)
Entity type:Individual
Prefix:
First Name:JESSICA
Middle Name:K
Last Name:HEIMES
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Gender:F
Credentials:DO
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Mailing Address - Street 1:4320 WORNALL ROAD
Mailing Address - Street 2:SUITE 50
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111
Mailing Address - Country:US
Mailing Address - Phone:816-931-3312
Mailing Address - Fax:816-531-9862
Practice Address - Street 1:3901 RAINBOW BLVD
Practice Address - Street 2:MS 2005
Practice Address - City:KANSAS CITY
Practice Address - State:KS
Practice Address - Zip Code:66103-2937
Practice Address - Country:US
Practice Address - Phone:913-588-6124
Practice Address - Fax:913-588-7540
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2017-09-13
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Provider Licenses
StateLicense IDTaxonomies
KS05-40038208G00000X
CA20A13209208G00000X
MO2017018169208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty