PAUL P HEIDEMAN (NPI# 1144546870) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144546870 |
| Entity Type | Individual |
| Full Name | PAUL P HEIDEMAN |
| Credential | M.D. |
| Practice Address |
252 Mchenry St Burlington WI 53105 |
| Mailing Address |
252 Mchenry St Burlington WI 53105-1828 |
| Practice Telephone | 2627676100 |
| Mailing Telephone | 2627676100 |
| Enumeration Date | 2010-04-20 |
| Last Update Date | 2018-06-25 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
63817 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | ENROLLED | 05 | |
| WI | ENROLLED | 05 | |
| MN | ENROLLED | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033374038 | Paul W Heideman | Psychologist | 5625 Cenex Dr, Mail Stop 33100a, Inver Grove Heights, MN 55077-1724 | 2008-07-20 |
| Street Address |
252 MCHENRY ST |
| City | BURLINGTON |
| State | WI |
| Zip Code | 53105 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104822493 | Melinee D Burnett | Physician Assistant | 252 Mchenry St, Burlington, WI 53105 | 2005-06-22 |
| 1053844142 | Kemal Kucuk | Internal Medicine | 252 Mchenry St, Burlington, WI 53105-1828 | 2017-04-06 |
| 1366983686 | Nguyen Q Ha | Internal Medicine | 252 Mchenry St, Burlington, WI 53105-1828 | 2017-03-20 |
| 1477094993 | John P Schmidt | Nurse Practitioner | 252 Mchenry St, Burlington, WI 53105-1828 | 2017-03-16 |
| 1700321726 | Mary Itzenheiser | Registered Nurse | 252 Mchenry St, Burlington, WI 53105-1828 | 2016-12-29 |
| 1134572530 | Lynn S Raml | Community Health Worker | 252 Mchenry St, Burlington, WI 53105-1828 | 2016-07-20 |
| 1760837793 | Brooke Beck | Nurse Practitioner | 252 Mchenry St, Burlington, WI 53105-1828 | 2016-04-27 |
| 1881058451 | Raihaan R Khattak | Internal Medicine | 252 Mchenry St, Burlington, WI 53105-1828 | 2016-04-11 |
| 1255700282 | Carol Mary Neumann | Dietitian, Registered | 252 Mchenry St, Burlington, WI 53105-1828 | 2015-09-21 |
| 1245609478 | Amy Lee | Dietitian, Registered | 252 Mchenry St, Burlington, WI 53105-1828 | 2015-09-17 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720574288 | Wisconsin Pain Management Specialists, LLC | Pain Medicine | 1050 S. Milwaukee Avenue, Suite 102, Burlington, WI 53105 | 2018-07-09 |
| 1952845679 | Jennifer Vozel | Registered Nurse | 40036 Bloomfield Rd, Burlington, WI 53105 | 2016-12-14 |
| 1356884613 | Labadie Family Dentistry, S.c. | Clinic/Center | 5019 Mormon Rd., Burlington, WI 53105 | 2016-11-18 |
| 1043654288 | Maureen Ann Mcnulty | Acupuncturist | 148 East State Street, Suite A, Burlington, WI 53105 | 2013-04-18 |
| 1003166349 | Jessica Robinson | Licensed Practical Nurse | 7656 Highland Ave, Burlington, WI 53105 | 2012-09-13 |
| 1063677334 | Douglas Armin Wild Sr. | Dentist | 2545 Partridge Wds. Ct., Burlington, WI 53105 | 2008-07-25 |
| 1346408945 | William Henry Basil | Dentist | 222 Adams St, Burlington, WI 53105 | 2008-05-30 |
| 1912108689 | Debra Jean Studey Leffelman | Midwife, Lay | 5617 Spring Valley Rd., Burlington, WI 53105 | 2007-05-30 |
| 1215142955 | Michelle Marie Mehring | Licensed Practical Nurse | 541 Kearney Rd, Burlington, WI 53105 | 2007-05-14 |
| 1003982802 | Alan Dean Meike | Chiropractor | 196 W Chestnut Street, Burlington, WI 53105 | 2006-11-27 |
| Find all providers in zip 53105 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457643272 | Matthew G. Geeslin | Radiology | 111 Colchester Ave Dept Of, Burlington, VT 05401-1473 | 2011-05-12 |
| 1871825281 | Gregory Day | Radiology | 2609 Bittersweet Pl, Burlington, IA 52601-2510 | 2010-02-10 |
| 1619045960 | James Howard Small | Radiology | 1017 N 4th St, Burlington, IA 52601-4804 | 2006-12-02 |
| 1790892834 | Tai M Tran | Radiology | Lahey Medical Ctr, 41 Mall Road, Burlington, MA 01805-0001 | 2006-08-24 |
| 1205846151 | Peter Hongkyun Lee | Radiology | 41 Mall Rd Lahey Hospital and Medical Ctr, Burlington, MA 01805-2961 | 2006-08-09 |
| 1467499053 | Jane C Primm | Radiology | 111 Colchester Ave, Acc-2nd Fl, Fletcher Allen Health Care, Burlington, VT 05401-1473 | 2006-06-01 |
| 1336106533 | Lisl Warren | Radiology | Lahey Clinic/radiology, 41 Mall Road, Burlington, MA 01805-0001 | 2006-05-01 |
| 1326046970 | Urvi Fulwadhva | Radiology | Lahey Clinic, Inc., 41 Mall Road, Burlington, MA 01805-0001 | 2005-07-08 |
| 1922594019 | Paschalis Toskas | Radiology | 41 Burlington Mall Road, Burlington, MA 01805 | 2018-07-02 |
| 1043763758 | Richard Thomas | Radiology | Lahey Hospital & Medical Center, 41 Mall Road, Burlington, MA 01805 | 2016-07-28 |
| Find all providers in BURLINGTON | ||||
| City | BURLINGTON |
| Zip Code | 53105 |
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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.