STEVEN J HEITHOFF (NPI# 1376544593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1376544593 |
Entity Type | Individual |
Full Name | STEVEN J HEITHOFF |
Credential | D.O. |
Practice Address |
940 River Centre Dr Port Huron MI 48060-4463 |
Practice Telephone | 8109854900 |
Practice Fax Number | 8109853634 |
Mailing Telephone | 8109854900 |
Mailing Fax Number | 8109853634 |
Enumeration Date | 2005-08-10 |
Last Update Date | 2007-07-09 |
Gender Code | M |
Is Sole Proprietor | X |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207XS0106X |
Orthopaedic Surgery Specialization: Hand Surgery |
5101007945 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 1924688 | 05 |
Street Address |
940 RIVER CENTRE DR |
City | PORT HURON |
State | MI |
Zip Code | 48060-4463 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1285116202 | Kelsay Kristine Payton | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060 | 2018-09-06 |
1275079758 | Ashley Stevenson | Physical Therapist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2017-01-09 |
1093265225 | Ashley Lauren Turner | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2016-10-12 |
1346612447 | Amanda Whymer | Nurse Practitioner | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2015-10-28 |
1528440203 | Shelby Conard | Specialist/Technologist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2015-06-18 |
1144628009 | Orthopedic Associates of Port Huron, PC | Radiology | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2014-12-09 |
1023433158 | Joshua Bosley Kiba | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2014-02-26 |
1104103928 | Laura Ann Kinsley | Physical Therapist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2011-11-08 |
1992008759 | Kathryn Cpak | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2010-12-15 |
1649409020 | William Mckenna Braaksma | Orthopaedic Surgery | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2009-07-07 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
Find all providers in zip 48060 |
Taxonomy Code | 207XS0106X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Orthopaedic Surgery |
Specialization | Hand Surgery |
An orthopaedic surgeon trained in the investigation, preservation and restoration by medical, surgical and rehabilitative means of all structures of the upper extremity directly affecting the form and function of the hand and wrist. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. American Osteopathic Board of Orthopaedic Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Orthopaedic Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861736027 | Scott Sami Samona | Orthopaedic Surgery | 22731 Newman St Ste 100a, Dearborn, MI 48124-2031 | 2012-11-12 |
1720216187 | William R. Truluck II Do Pllc | Orthopaedic Surgery | 3945 Okemos Rd Ste B4, Okemos, MI 48864 | 2009-06-24 |
1215101290 | Ruth Marie Baer | Orthopaedic Surgery | 965 Fee Rd, East Fee Hall, Room A233, East Lansing, MI 48824-6569 | 2008-04-21 |
1962617639 | William Ray Truluck | Orthopaedic Surgery | 1841 Newman Rd, Suite, Okemos, MI 48864-1122 | 2007-05-14 |
1710102389 | Uzma Rehman Do PC | Orthopaedic Surgery | 45650 Schoenherr Rd, Suite A, Shelby Township, MI 48315-6033 | 2007-04-17 |
1386651487 | B Kent Maupin Md PC | Orthopaedic Surgery | 1001 Medical Park Dr Se, Suite 211, Grand Rapids, MI 49546-3610 | 2006-08-02 |
1033140959 | Frederick Victor Minkow | Orthopaedic Surgery | 43700 Woodward Avenue, Suite 205, Bloomfield Hills, MI 48302-0561 | 2006-07-06 |
1245261007 | Stephen Edward Werner | Orthopaedic Surgery | 1349 S Rochester Rd Ste 225, Rochester Hills, MI 48307-3183 | 2006-07-06 |
1801839816 | David L Gerstner | Orthopaedic Surgery | 601 John St Ste M-206c, Kalamazoo, MI 49007-5359 | 2006-06-14 |
1730120361 | John Michael Trupiano | Orthopaedic Surgery | 201 W Big Beaver Rd Ste 1140, Troy, MI 48084-4160 | 2006-06-08 |
Find all providers with the same taxonomy |
City | PORT HURON |
Zip Code | 48060 |
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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.