DR. GRACE M HEITSCH (NPI# 1538181011) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538181011 |
| Entity Type | Individual |
| Full Name | DR. GRACE M HEITSCH |
| Credential | M.D. |
| Practice Address |
88455 Pike Road, Highway 13 Bayfield WI 54814 |
| Mailing Address |
Po Box 529 Bayfield WI 54814-0529 |
| Practice Telephone | 7157793707 |
| Practice Fax Number | 7157793711 |
| Mailing Telephone | 7157793707 |
| Mailing Fax Number | 7157793711 |
| Enumeration Date | 2006-07-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 30572-020 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | 355214400 | 05 | |
| WI | 31585500 | 05 |
| Street Address |
88455 PIKE ROAD, HIGHWAY 13 |
| City | BAYFIELD |
| State | WI |
| Zip Code | 54814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568484764 | Janice K Wilber | Pharmacist | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-24 |
| 1730102203 | Barbara M Tellier | Pharmacist | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-25 |
| 1609898055 | Jacob P Geisler | Social Worker | 88455 Pike Road, Highway 13, Bayfield, WI 54814 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760830103 | Orthopedic & Spine Therapy of Poplar Sc | Physical Therapist | 33 N 1st St, Bayfield, WI 54814 | 2016-05-26 |
| 1265812481 | Valley Birch, LLC | Community/Behavioral Health | 249 Rittenhouse Avenue, Bayfield, WI 54814 | 2015-06-03 |
| 1205007796 | Red Cliff Band of Lake Superior Chippewa | Social Worker | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1518137652 | Ellie Heydari | Dentist | 36745 Aiken Rd., Red Cliff Community Health Center, Bayfield, WI 54814 | 2008-03-05 |
| 1174672844 | Red Cliff Band of Lake Superior Chippewa Indians | Ambulance | 37435 Sth 13, Bayfield, WI 54814 | 2007-01-10 |
| 1730257122 | Red Cliff Band of Lake Superior Chippewa | Pharmacist | 88385 Pike Road, Bayfield, WI 54814 | 2006-12-01 |
| 1902077464 | Red Cliff Band of Lake Superior Chippewa | Registered Nurse | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1083885545 | Red Cliff Band of Lake Superior Chippewa | Durable Medical Equipment & Medical Supplies | 88455 Pike Road, Bayfield, WI 54814 | 2008-03-12 |
| 1811034390 | Bayfield Community Ambulance Service | Ambulance | 813 Washington Ave., Bayfield, WI 54814-0230 | 2007-01-31 |
| 1881873610 | Bayfield School District | Local Education Agency (LEA) | 300 N 4th St, Bayfield, WI 54814-3406 | 2007-10-29 |
| Find all providers in zip 54814 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| 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 Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437767977 | St Francs Pediatrics | Pediatrics | 3201 S 16th St Ste 100, Milwaukee, WI 53215-4579 | 2020-07-21 |
| 1780155275 | Children's Health System, Inc. | Pediatrics | 6809 122nd Avenue, Kenosha, WI 54342-7335 | 2018-12-10 |
| 1467972950 | Cameron Trammell Shamsi Kasmai | Pediatrics | 9000 W Wisconsin Ave # Ms 681, Milwaukee, WI 53226-4874 | 2017-06-26 |
| 1669903993 | Kristin Zorn | Pediatrics | 8701 W Watertown Plank Rd # Mfrc3018, Milwaukee, WI 53226-3548 | 2017-03-27 |
| 1487195822 | Jane A Rivas | Pediatrics | 9000 W Wisconsin Ave # C550, Milwaukee, WI 53226-4874 | 2017-03-18 |
| 1467996991 | Children's Medical Group | Pediatrics | N168w22730 Prairie View Lane, Jackson, WI 53037 | 2016-12-19 |
| 1366997496 | Ujuchukwu Chizurum Okpechi | Pediatrics | 2700 W 9th Ave Ste 211, Oshkosh, WI 54904-7865 | 2016-08-18 |
| 1396193454 | Helen Gerseny Waterman | Pediatrics | 123 E Mifflin St Apt 200, Madison, WI 53703-2810 | 2016-05-31 |
| 1972951127 | Hillary Herman | Pediatrics | 1506 S Oneida St Fl 5, Appleton, WI 54915-1305 | 2016-05-27 |
| 1811350416 | Brittney Allison Krueger | Pediatrics | 4855 S Moorland Rd Ste 150, New Berlin, WI 53151-7495 | 2016-03-31 |
| Find all providers with the same taxonomy | ||||
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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.