JUSTINA HEIDENTHAL (NPI# 1174657670) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174657670 |
| Entity Type | Individual |
| Full Name | JUSTINA HEIDENTHAL |
| Credential | PA-C |
| Practice Address |
1307 Federal St 2nd Floor Pittsburgh PA 15212-4769 |
| Practice Telephone | 8776606777 |
| Practice Fax Number | 4123598055 |
| Mailing Telephone | 8776606777 |
| Mailing Fax Number | 4123598055 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2015-10-09 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
MA052583 | PA | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
1307 FEDERAL ST 2ND FLOOR |
| City | PITTSBURGH |
| State | PA |
| Zip Code | 15212-4769 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518966670 | Radheshyam M. Agrawal | Internal Medicine | 1307 Federal St, Suite 301, Pittsburgh, PA 15212-4705 | 2005-07-20 |
| 1265064737 | Victor Cornelius Noble | Physician Assistant | 1307 Federal St, Pittsburgh, PA 15212-4769 | 2020-02-12 |
| 1760997423 | Nicole Julia Underwood | Physician Assistant | 1307 Federal St, Suite B201, Pittsburgh, PA 15212-4774 | 2017-12-04 |
| 1073046496 | Jessica Lynn Cook | Nurse Practitioner | 1307 Federal St, Suite 304, Pittsburgh, PA 15212-4769 | 2017-04-04 |
| 1881143931 | Ellen Stewart | Obstetrics & Gynecology | 1307 Federal St, Ste 300, Pittsburgh, PA 15212-4769 | 2016-09-30 |
| 1740633049 | Brittany Paterniti | Physician Assistant | 1307 Federal St, 2nd Floor, Pittsburgh, PA 15212-4769 | 2016-07-21 |
| 1265891527 | Andrew John Cubbison | Specialist/Technologist | 1307 Federal St, Pittsburgh, PA 15212-4769 | 2016-02-15 |
| 1396100749 | Theodore Marino Ezekiel Gagianas | Physician Assistant | 1307 Federal St, 2nd Floor, Pittsburgh, PA 15212-4769 | 2015-12-29 |
| 1770956906 | Caylie Jacob | Physician Assistant | 1307 Federal St, Suite 300, Pittsburgh, PA 15212-4769 | 2015-11-10 |
| 1396117818 | Eleanor A Deshone | Physician Assistant | 1307 Federal St, Suite 300, Pittsburgh, PA 15212-4769 | 2015-10-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770182347 | Kimberly Marie Pacy | Pharmacist | 623-625 East Ohio Street, Pittsburgh, PA 15212 | 2020-10-23 |
| 1649884990 | Genafie Mcknight | Social Worker | 322 North Shore Drive North Shore, Building 1b Suite 200, Pittsburgh, PA 15212 | 2020-09-03 |
| 1942818703 | Abraham Attah | Internal Medicine | 307 Federal Street, Suite B300, Pittsburgh, PA 15212 | 2020-07-17 |
| 1639705742 | Regi Jithesh | Nurse Practitioner | 314 E. North Avenue, Level One, Pittsburgh, PA 15212 | 2020-03-20 |
| 1598309262 | Anna Michaela Carter | Music Therapist | 322 North Shore Drive, Building 1b, Suite 200, Office 203, Pittsburgh, PA 15212 | 2019-11-05 |
| 1477196194 | Home Recovery Care, LLC | Case Management | 320 E. North Avenue, Cancer Institute Rm 203, Pittsburgh, PA 15212 | 2019-10-25 |
| 1558842997 | Maggie Yuhas | Occupational Therapist | 1411 Porterfield St, Pittsburgh, PA 15212 | 2018-08-23 |
| 1518464932 | Chloe Williams | Student in an Organized Health Care Education/Training Program | Allegheny General Hospital, 320 East North Ave, Pittsburgh, PA 15212 | 2018-04-11 |
| 1598261729 | Martha Conley Harrison | Student in an Organized Health Care Education/Training Program | West Penn Hospital, 4800 Friendship Ave, Pittsburgh, PA 15212 | 2018-04-05 |
| 1487155271 | Northside Dental | Dentist | 814 Cedar Avenue, Pittsburgh, PA 15212 | 2018-02-27 |
| Find all providers in zip 15212 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205450087 | Mary Baich | Physician Assistant | 1050 Bower Hill Rd Ste 208, Pittsburgh, PA 15243-1868 | 2020-06-08 |
| 1972145134 | Emilie A Simone | Physician Assistant | 1050 Bower Hill Rd Ste 309, Pittsburgh, PA 15243-1870 | 2019-10-09 |
| 1518524339 | Nicholas Vernoy Smith | Physician Assistant | 510 South Aiken Avenue, Suite Eg-01 East Wing Shadyside Hospital, Pittsburgh, PA 15232-1505 | 2019-05-28 |
| 1689131757 | Amanda Furst | Physician Assistant | 9100 Babcock Blvd Ste 4828, Pittsburgh, PA 15237-5815 | 2019-02-26 |
| 1659845295 | Alexis Kimes | Physician Assistant | 200 Lothrop St Fl 4, Pittsburgh, PA 15213-2536 | 2019-01-16 |
| 1831648336 | Hollie Anne Ramaley | Physician Assistant | 624 E End Ave, Pittsburgh, PA 15221-3424 | 2016-09-25 |
| 1902250780 | Girma Gutema Hundie | Physician Assistant | 431 Wilson Drive, Pittsburgh, PA 15235 | 2016-04-19 |
| 1871956391 | Kadie Fritz | Physician Assistant | 5601 Centre Ave., Suite 360, Pittsburgh, PA 15206 | 2016-04-01 |
| 1518335033 | Maggie Duer | Physician Assistant | 300 Halket St Ste 1601, Pittsburgh, PA 15213-3108 | 2015-09-15 |
| 1316333057 | Tamara Lea Moritz | Physician Assistant | 6604 Northumberland St, Pittsburgh, PA 15217-1313 | 2015-04-09 |
| Find all providers in PITTSBURGH | ||||
| City | PITTSBURGH |
| Zip Code | 15212 |
Please comment or provide details below to improve the information on JUSTINA HEIDENTHAL.
| 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.