Individual provider · Type 1 NPI

Jason Pernell Heavens, MD

Family Medicine Physician · Tempe, AZ

NPI number 1063781797 Active

Practice location

4450 S Rural Rd Ste A210
Tempe, AZ 85282-5587

Fax (623) 444-2784

Mailing address

105 S Delaware Dr Ste 1
Apache Junction, AZ 85120-6512

Other practice locations

  • 95 S Idaho Rd Ste 140, Apache Junction, AZ 85119-0006 · (480) 444-1160
  • 105 S Delaware Dr, Ste 1, Apache Junction, AZ 85120-6512 · (480) 646-1001

Specialties and licenses

TaxonomyCodeLicense
Family Medicine Physician Primary 207Q00000X44336 (AZ)
Emergency Medicine Physician 207P00000X44336 (AZ)

Family Medicine Physician: 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.

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About NPI 1063781797

Jason Pernell Heavens, MD's National Provider Identifier is 1063781797, issued on Dec 27, 2011. The primary taxonomy on file is Family Medicine Physician (207Q00000X), and the practice location is in Tempe, AZ. The record was last updated on Nov 13, 2025.