MR. GEORGE HEIDRICH III (NPI# 1689628208) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689628208 |
| Entity Type | Individual |
| Full Name | MR. GEORGE HEIDRICH III |
| Credential | RN |
| Practice Address |
5014 Piccadilly Dr Madison WI 53714-2014 |
| Practice Telephone | 6082351766 |
| Mailing Telephone | 6082351766 |
| Enumeration Date | 2006-05-19 |
| Last Update Date | 2007-07-09 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 163WH0200X |
Registered Nurse Specialization: Home Health |
77912 | WI | Nursing Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 398600 | 05 |
| Street Address |
5014 PICCADILLY DR |
| City | MADISON |
| State | WI |
| Zip Code | 53714-2014 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265069421 | Access Elevator, Inc. | Contractor | 4229 Argosy Ct., Suite 2b, Madison, WI 53714 | 2020-03-26 |
| 1629426762 | Bethany Domoto | Occupational Therapist | 210 Dempsey Rd, Madison, WI 53714 | 2016-05-31 |
| 1871984989 | Warren Family Dental | Dentist | 4226 Milwaukee Street, Madison, WI 53714 | 2015-02-11 |
| 1316103567 | Heather Marie Kramer | Occupational Therapy Assistant | 5755 Burke Rd, Madison, WI 53714 | 2008-08-06 |
| 1841402906 | Genesis Eldercare Rehab Services | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2007-05-03 |
| 1902928872 | Christine Haag | Dentist | 758 Corporate Dr., Suite 201, Madison, WI 53714 | 2007-04-04 |
| 1366958522 | Dana Johanek | Acupuncturist | 4222 Milwaukee St, 17, Madison, WI 53714 | 2017-12-22 |
| 1003338575 | Lacrima M Goldberg | Dentist | 826 Atlas Ave, Madison, WI 53714 | 2017-07-17 |
| 1497127120 | Kimberly Ann Klein | Occupational Therapist | 4502 Milwaukee Street, Madison, WI 53714 | 2015-10-21 |
| 1437310604 | Pediatric Dental Specialists of Madison LLC | Dentist | 49 N Walbridge Ave, Madison, WI 53714 | 2008-06-20 |
| Find all providers in zip 53714 | ||||
| Taxonomy Code | 163WH0200X |
| Grouping | Nursing Service Providers |
| Classification | Registered Nurse |
| Specialization | Home Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356987358 | Ofonmbuk Ukoeninn | Registered Nurse | 401 N High Point Rd, Madison, WI 53717-1849 | 2019-11-25 |
| 1598287278 | Valerie Ann Sency | Registered Nurse | 4033 Dayton Rd, Madison, OH 44057-9766 | 2017-07-13 |
| 1275068157 | Rebecca Olson | Registered Nurse | 1026 Morraine View Dr, Madison, WI 53719-3017 | 2017-04-27 |
| 1134667025 | Jillian Reppond | Registered Nurse | 123 Mason Way, Madison, MS 39110-6817 | 2017-02-10 |
| 1356886196 | Deshala Frazier | Registered Nurse | 454 Ne Celosia Dr, Madison, FL 32340-4161 | 2017-01-04 |
| 1629437439 | Nicole J Helmholdt | Registered Nurse | 641 W Main St Apt 105, Madison, WI 53703-2695 | 2016-02-22 |
| 1740680180 | Jonathan Long | Registered Nurse | 1707 Rowland Ave # 1, Madison, WI 53704-4109 | 2014-09-03 |
| 1760803092 | Jamie Elizabeth Reno | Registered Nurse | 309 E Dean Ave, Madison, WI 53716-2105 | 2014-01-06 |
| 1831430214 | Merta Maaneb De Macedo | Registered Nurse | 3710 Odana Rd, Madison, WI 53711-1740 | 2013-03-08 |
| 1780935460 | Lynn M Heidemann | Registered Nurse | 203 Ski Ct, Unit D, Madison, WI 53713-4604 | 2012-09-21 |
| Find all providers in MADISON | ||||
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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.