DR. DAVID G HEIDEMANN (NPI# 1073504122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073504122 |
| Entity Type | Individual |
| Full Name | DR. DAVID G HEIDEMANN |
| Credential | MD |
| Practice Address |
29201 Telegraph Rd Suite 101 Southfield MI 48034-1331 |
| Practice Telephone | 2483501130 |
| Practice Fax Number | 2483502709 |
| Mailing Telephone | 2483501130 |
| Mailing Fax Number | 2483502709 |
| Enumeration Date | 2005-10-28 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 4301048651 | MI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MI | 1818756 | 05 |
| Street Address |
29201 TELEGRAPH RD SUITE 101 |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48034-1331 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689184202 | Jihan Elise El-kurdi | Physical Therapy Assistant | 29201 Telegraph Rd, Southfield, MI 48034-1331 | 2017-10-10 |
| 1417400581 | Maggie Leonards | Audiologist | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-1331 | 2016-07-25 |
| 1174963045 | Abraham Isaias Gomez Hernandez | Student in an Organized Health Care Education/Training Program | 29201 Telegraph Rd, Ste 324, Southfield, MI 48034-1331 | 2013-06-25 |
| 1265794739 | Michfoot Surgeons, P.C. | Podiatrist | 29201 Telegraph Rd, Suite 100, Southfield, MI 48034-1331 | 2012-06-11 |
| 1528333051 | Amy H. Rogers | Speech-Language Pathologist | 29201 Telegraph Rd, Suite 500, Southfield, MI 48034-1331 | 2012-03-16 |
| 1164756276 | Harry Hunter Jr. | Social Worker | 29201 Telegraph Rd, 550, Southfield, MI 48034-1331 | 2009-09-22 |
| 1013147586 | Chirag Gupta | Optometrist | 29201 Telegraph Rd, Suite # 101, Southfield, MI 48034-1331 | 2009-07-20 |
| 1811127376 | Elliott Michael Wolf | Psychiatry & Neurology | 29201 Telegraph Rd, Suite 600, Southfield, MI 48034-1331 | 2009-07-19 |
| 1306075551 | Phoenix Medical Group, P.C. | Internal Medicine | 29201 Telegraph Rd, 450, Southfield, MI 48034-1331 | 2009-07-09 |
| 1619123320 | Linda K Forsberg | Psychologist | 29201 Telegraph Rd, Suite600, Southfield, MI 48034-1331 | 2008-08-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780219196 | I. R. Horn & Associates LLC | Community/Behavioral Health | 29623 Norhtwestern Hwy Suite 5, Southfield, MI 48034 | 2020-03-05 |
| 1003378753 | Alexis Shivers | Physical Therapy Assistant | 27500 Lahser Rd, Southfield, MI 48034 | 2019-04-02 |
| 1598257768 | El-abbadi Pediatric Clinic | Pediatrics | 24676 Lahser Road, Southfield, MI 48034 | 2018-06-04 |
| 1689166894 | Recore Rehabilitation Services | Clinic/Center | 25899 W 12 Mile Rd # 340, Southfield, MI 48034 | 2018-06-04 |
| 1578063749 | El-abbadi Healthcare Center | Clinic/Center | 27403 Lahser Rd, Southfield, MI 48034 | 2018-02-14 |
| 1063924819 | Diagnostic Hematology, PC | Clinical Medical Laboratory | 24725 W. Twelve Mile Road, Suite 118, Southfield, MI 48034 | 2017-11-02 |
| 1962929125 | Toms Holistic Home Visits Pllc | Clinic/Center | 28675 Franklin Rd, Suite 217, Southfield, MI 48034 | 2017-08-28 |
| 1265956940 | Abbadi Healthcare | Pharmacy | 27402 Lahser Road, Southfield, MI 48034 | 2017-08-03 |
| 1720517113 | Theramedic Home Health Care LLC | Home Health | 26400 W. 12 Mile Rd, Suite 80, Southfield, MI 48034 | 2017-06-08 |
| 1538695804 | Adrienne Rutherford | Occupational Therapist | 25999 Franklin Pointe Dr, Southfield, MI 48034 | 2017-05-05 |
| Find all providers in zip 48034 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649894429 | Ryan Freedman | Ophthalmology | 2250 Providence Dr., 3pmb Suite #301, Southfield, MI 48075-4818 | 2020-06-08 |
| 1366895005 | Black & White Look Optical Corp | Ophthalmology | 15675 W 10 Mile Rd, Southfield, MI 48075-2188 | 2016-07-18 |
| 1548655152 | Bianca Kizy | Ophthalmology | 29201 Telegraph Rd Ste 101, Southfield, MI 48034-7630 | 2015-03-31 |
| 1588977656 | Randee Miller Watson | Ophthalmology | 29201 Telegraph Rd Ste 606, Southfield, MI 48034-1300 | 2010-07-19 |
| 1063578912 | Associated Vision Consultants Pllc | Ophthalmology | 29275 Northwestern, Suite 200, Southfield, MI 48034-5744 | 2006-12-28 |
| 1164599437 | Advanced Eye Care Md PC | Ophthalmology | 23077 Greenfield Suite 144, Southfield, MI 48075-3738 | 2006-11-29 |
| 1215962345 | Shirley T Sherrod Md PC | Ophthalmology | 22200 W 11 Mile Rd, Box No. 515, Southfield, MI 48037-7136 | 2006-07-11 |
| 1124094651 | Alon Kahana | Ophthalmology | 29201 Telegraph Rd Ste 324, Southfield, MI 48034-7646 | 2006-02-24 |
| 1730170234 | Joel Zacks | Ophthalmology | 15914 Jeanette St, Southfield, MI 48075-2013 | 2005-11-02 |
| 1184615767 | Charlotte M Liioi Hartzell | Ophthalmology | 26400 W 12 Mile Rd Ste 60, Southfield, MI 48034-1774 | 2005-11-02 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48034 |
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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.