DR. STEPHANIE DANIELLE VAN HEERDEN


Address: 583 S Clarizz Blvd, Bloomington, IN 47401-5515
Phone: 8123556933

DR. STEPHANIE DANIELLE VAN HEERDEN (NPI# 1437598596) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1437598596
Entity Type Individual
Full Name DR. STEPHANIE DANIELLE VAN HEERDEN
Other Name DR. STEPHANIE DANIELLE GILES
Credential D.P.M.
Practice Address 583 S Clarizz Blvd
Bloomington
IN 47401-5515
Practice Telephone 8123556933
Practice Fax Number 8123556958
Mailing Telephone 8123556933
Mailing Fax Number 8123556958
Enumeration Date 2013-06-21
Last Update Date 2019-10-04
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 213E00000X Podiatrist 07001250B IN Podiatric Medicine & Surgery Service Providers
Y 213ES0131X Podiatrist
Specialization: Foot Surgery
07001250A IN Podiatric Medicine & Surgery Service Providers
N 213ES0131X Podiatrist
Specialization: Foot Surgery
SC006699 PA Podiatric Medicine & Surgery Service Providers

Office Location

Street Address 583 S CLARIZZ BLVD
City BLOOMINGTON
State IN
Zip Code 47401-5515

Providers in the same location

NPI Name Taxonomy Address Enumeration
1619958782 Jayne Crescimbeni-pierce Nurse Practitioner 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2005-11-07
1407404866 Jenna Grile Registered Nurse 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2019-08-29
1770038069 Supriya Kairamkonda Psychiatry & Neurology 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2016-08-17
1336511591 Ryan Taylor Physical Therapist 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2015-10-28
1063815389 Laurie Susan Allen Occupational Therapist 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2014-10-01
1427476696 Indiana University Health Southern Indiana Physicians, Inc Durable Medical Equipment & Medical Supplies 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2014-04-03
1477875938 Mehyar Mehrizi Psychiatry & Neurology 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2010-02-24
1518198639 Gene Devane Podiatrist 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2009-08-06
1316173727 Jennifer Black Physician Assistant 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2009-06-01
1932364288 Tarek Sibai Orthopaedic Surgery 583 S Clarizz Blvd, Bloomington, IN 47401-5515 2008-07-26
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1740765791 Holly G Carter Physical Therapist 3607 Heirloom Dr, Bloomington, IN 47401 2018-09-26
1285116657 Kimberly D Bergan Occupational Therapist 3607 S Heirloom Dr, Bloomington, IN 47401 2018-09-03
1255836813 Erin Kathleen Sain Nurse Practitioner 326 W Woodcrest Drive, Bloomington, IN 47401 2018-03-27
1881104289 Ev Bloomington Limited Partnership Assisted Living Facility 3607 South Heirloom Drive, Bloomington, IN 47401 2017-10-11
1619496536 Kirsten N Neely Physical Therapist 2604 E. Creek's Edge Dr., Bloomington, IN 47401 2017-09-12
1023533908 Hoosier United Therapy Service LLC Physical Therapist 2801 E Plateau Place, Bloomington, IN 47401 2017-08-11
1194127381 Ann Marie Neeley Lactation Consultant, Non-RN 2458 South Walnut Street, Bloomington, IN 47401 2014-09-19
1518397801 Indiana Spine and Sports Inc. Chiropractor 418 S Walnut St Suite C, Bloomington, IN 47401 2013-11-22
1053654574 William Robblee Anderson Obstetrics & Gynecology 2625 E. Spicewood Ct., Bloomington, IN 47401 2013-04-03
1285979377 Jenna Marie Dale Optometrist 322 S. Woodcrest Drive Precision Eye Group, Bloomington, IN 47401 2012-11-30
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Taxonomy Information

Taxonomy Code 213ES0131X
Grouping Podiatric Medicine & Surgery Service Providers
Classification Podiatrist
Specialization Foot Surgery

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1871192716 Indiana Foot and Ankle Specialist LLC Podiatrist 2106 W Mcgalliard Rd, Muncie, IN 47304-2150 2020-10-21
1174020549 Make Yourself, LLC Podiatrist 128 W 5th St, Peru, IN 46970-2139 2018-04-11
1689805061 Fredericka Alona Wilson Podiatrist 4010 W 86th St Ste A, Indianapolis, IN 46268-1779 2009-08-03
1801032248 Parkview Health System, Inc. Podiatrist 306 Maumee St, Suite 2, Angola, IN 46703-2035 2009-01-06
1629214069 Parkview Health System, Inc. Podiatrist 410 E. Mitchell St., Kendallville, IN 46755-1890 2009-01-06
1811142250 Charles W. Kelley IIi D.p.m. Podiatrist 5602 Madison Ave, Indianapolis, IN 46227-4625 2008-11-26
1780846139 Accredited Foot Surgeons Podiatrist 9007 Indianapolis Blvd, Suite B, Highland, IN 46322-2575 2008-06-26
1952523508 Aboite Podiatry Associates PC Podiatrist 7559 West Jefferson Blvd, Fort Wayne, IN 46804-4131 2007-05-03
1487749305 John L Trench IIi Podiatrist 1216 Wabash Ave, Terre Haute, IN 47807-3312 2006-10-04
1770699522 Gregory A Schweikher Podiatrist 2020 Union St Ste 100, Lafayette, IN 47904-2694 2006-08-22
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Competitor

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City BLOOMINGTON
Zip Code 47401

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Dataset Information

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.

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