HEIDRICH, MD (NPI# 1124354865) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124354865 |
| Entity Type | Organization |
| Organization Name | HEIDRICH, MD |
| Practice Address |
1601 E Highland Ave Apt 1138 Phoenix AZ 85016-4684 |
| Practice Telephone | 2067904161 |
| Enumeration Date | 2009-11-01 |
| Last Update Date | 2011-07-14 |
| Authorized Official Name | BRYAN HEIDRICH (RESIDENT) |
| Authorized Official Telephone | 2067904161 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | R71447 | AZ | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | AZ STATE LICENSE | R71447 | 01 |
| Street Address |
1601 E HIGHLAND AVE APT 1138 |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85016-4684 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851992705 | Heatheranne Baker-oldfield | Counselor | 2415 E Camelback Rd Ste 700, Phoenix, AZ 85016 | 2020-11-06 |
| 1780215681 | Sip Home Systems - Mesa LLC | Home Health | 24th At Camelback, 2375 E. Camelback Rd., Suite 600, Phoenix, AZ 85016 | 2020-01-29 |
| 1760945588 | Wei Wei | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital 1919 E. Thomas Rd., Phoenix, AZ 85016 | 2019-04-09 |
| 1942765623 | Grace Hatfield | Dietitian, Registered | Phoenix Childrens Hospital 1919 E Thomas Rd, Phoenix, AZ 85016 | 2019-02-06 |
| 1861977027 | Dawn Yvette Lima | Occupational Therapy Assistant | 3128 E Cheery Ln, Phoenix, AZ 85016 | 2018-10-03 |
| 1720583685 | Kristin Pauline Hicklin | Registered Nurse | 2930 E Camelback Rd Ste 100, Phoenix, AZ 85016 | 2018-03-24 |
| 1588181622 | Taness Eyre Billington | Pharmacist | 1625 E. Camelback Rd., Phoenix, AZ 85016 | 2017-08-29 |
| 1093239048 | Emma Ross | Psychologist | 1919 E Thomas Rd Bldg 4th, Phoenix, AZ 85016 | 2017-08-01 |
| 1609396985 | Mohammed Waseemuddin | Student in an Organized Health Care Education/Training Program | Phoenix Children's Hospital, 1919 E Thomas Rd, Phoenix, AZ 85016 | 2017-06-27 |
| 1144777632 | Amanda Mazerall | Occupational Therapist | 4333 N 24th Street, Apartment 223, Phoenix, AZ 85016 | 2016-09-01 |
| Find all providers in zip 85016 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265063010 | Honorhealth | General Acute Care Hospital | 33400 N 32nd Ave, Phoenix, AZ 85085-8876 | 2020-01-30 |
| 1891114641 | Maricopa County Special Health Care District | General Acute Care Hospital | 5650 S 35th Ave, Phoenix, AZ 85041 | 2014-04-09 |
| 1861752958 | Trans Aid LLC | General Acute Care Hospital | 4617 W Venture Ct, Phoenix, AZ 85086-1421 | 2012-05-22 |
| 1598927592 | Banner Good Samaritan | General Acute Care Hospital | 1441 North 12th Street, Phoenix, AZ 85006 | 2008-06-30 |
| 1699944421 | Ellie Maldonado | General Acute Care Hospital | 7344 N 22nd St, Phoenix, AZ 85020-4753 | 2008-02-26 |
| 1720297377 | John W. Bass Md | General Acute Care Hospital | 2398 E Camelback Rd Ste 980, Phoenix, AZ 85016-9019 | 2007-05-21 |
| 1881800464 | Abe Goldstein, Md PC | General Acute Care Hospital | 2525 W Beryl Ave, Phoenix, AZ 85021-1606 | 2007-05-14 |
| 1891805735 | Department of Veteran Affairs | General Acute Care Hospital | 650 E Indian School Road, Phoenix, AZ 85012-1892 | 2006-08-30 |
| 1598749269 | Arizina Heart Hospital, LLC | General Acute Care Hospital | 1930 East Thomas Road, Phoenix, AZ 85016-7711 | 2005-12-05 |
| 1326022732 | Vhs Acquisition Subsidiary Number 1 Inc | General Acute Care Hospital | 3929 E Bell Rd, Phoenix, AZ 85032-2112 | 2005-11-30 |
| Find all providers in PHOENIX | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.