Whalio Doctors

NPI 1063781797

Jason Pernell Heavens, MD

Practitioner Family Medicine Physician Tempe, AZ

Practice location

Address
4450 S Rural Rd STE A210, Tempe, AZ 85282-5587
Phone
(623) 444-2734
Fax
(623) 444-2784
Mailing address
105 S Delaware Dr STE 1, Apache Junction, AZ 85120-6512

Registered specialties (2)

Family Medicine Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 44336 (AZ)
Emergency Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207P00000X Licence 44336 (AZ)

Registry record

NPI
1063781797
Entity type
Individual
Sex (as registered)
Male
NPI issued
27 Dec 2011
Record last updated
13 Nov 2025

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.