Individual provider · Type 1 NPI

Charles R. Heaton, PA-C

Surgical Physician Assistant · Torrington, CT

NPI number 1386400745 Active

Practice location

540 Litchfield St Fl 6
Torrington, CT 06790-6679

Mailing address

1290 Silas Deane Hwy
Wethersfield, CT 06109-4337

Other practice locations

  • 7 Alumni Dr, Exeter, NH 03833-2118 · (603) 777-1000

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant 363A00000X2174 (NH)
Surgical Physician Assistant Primary 363AS0400X7766 (CT)
Surgical Physician Assistant 363AS0400X2174 (NH)

Surgical Physician Assistant: Definition to come...

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About NPI 1386400745

Charles R. Heaton, PA-C's National Provider Identifier is 1386400745, issued on Feb 23, 2024. The primary taxonomy on file is Surgical Physician Assistant (363AS0400X), and the practice location is in Torrington, CT. The record was last updated on Jul 17, 2026.