DERRICK HEYDINGER (NPI# 1275989402) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275989402 |
| Entity Type | Individual |
| Full Name | DERRICK HEYDINGER |
| Credential | D.O. |
| Practice Address |
29000 Center Ridge Rd Uh St. John Medical Center Westlake OH 44145-5219 |
| Mailing Address |
Po Box 416457 Boston MA 02241-6457 |
| Practice Telephone | 5673034125 |
| Mailing Telephone | 8443621735 |
| Mailing Fax Number | 9732907495 |
| Enumeration Date | 2016-05-06 |
| Last Update Date | 2020-03-06 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QS0010X |
Family Medicine Specialization: Sports Medicine |
58.007498 | OH | Allopathic & Osteopathic Physicians |
| Street Address |
29000 CENTER RIDGE RD UH ST. JOHN MEDICAL CENTER |
| City | WESTLAKE |
| State | OH |
| Zip Code | 44145-5219 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255333670 | Roy E Seitz | Emergency Medicine | 29000 Center Ridge Rd, St John Medical Center, Westlake, OH 44145-5293 | 2005-08-15 |
| 1710500103 | Maxwell James Jentsch | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-05-20 |
| 1619599586 | Fadel Alkacace | Anesthesiologist Assistant | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-05-13 |
| 1053932079 | Henry Blunk | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-30 |
| 1730709494 | Jessica Wells | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-23 |
| 1750910956 | Golnaz Lahsaee | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-08 |
| 1295364669 | Jessica Kallenborn | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-07 |
| 1427687078 | Jordan Thomas Felice | Internal Medicine | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-06 |
| 1194354894 | Rachel Kamat | Student in an Organized Health Care Education/Training Program | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2020-04-04 |
| 1124667803 | Angela Yako | Nurse Anesthetist, Certified Registered | 29000 Center Ridge Rd, Westlake, OH 44145-5219 | 2019-12-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720628902 | Inherent Basic Goodness Counseling, LLC | Social Worker | 24600 Center Ridge Road Suite 130, Westlake, OH 44145 | 2020-01-15 |
| 1700425030 | The Family Dentist of Westlake Jonathan J Klineman Dds Inc | Dentist | 26600 Detroit Rd Suite 230, Westlake, OH 44145 | 2020-01-03 |
| 1033772421 | Holding Space, LLC | Social Worker | 26404 Center Ridge Rd Building A1 Ste A7, Westlake, OH 44145 | 2019-04-21 |
| 1326532508 | Integrative Pain Care LLC | Durable Medical Equipment & Medical Supplies | 25200 Center Ridge Rd, Ste 3300, Westlake, OH 44145 | 2018-06-20 |
| 1841783990 | Wendy Lynn Wheeler | Counselor | 28263 Center Ridge Rd, Westlake, OH 44145 | 2018-06-13 |
| 1326557836 | Tiffany Manrodt | Social Worker | 24500 Center Ridge Road Bldg 4, #120, Westlake, OH 44145 | 2017-09-27 |
| 1639620792 | Stacy Ryan | Speech-Language Pathologist | 3057 Holly Lane, Westlake, OH 44145 | 2016-10-24 |
| 1790238954 | Kathleen Hanigosky | Pharmacist | 27175 Center Ridge Rd., Westlake, OH 44145 | 2016-07-25 |
| 1780073155 | Prominent Healthcare, Inc. | Community/Behavioral Health | 24650 Westlake Center Ridge Road, Westlake, OH 44145 | 2015-01-22 |
| 1902225022 | Amanda Brooke Abernathy | Physical Therapist | 850 Columbia Road, Suite #110, Westlake, OH 44145 | 2014-04-16 |
| Find all providers in zip 44145 | ||||
| Taxonomy Code | 207QS0010X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Sports Medicine |
| A family medicine physician that is trained to be responsible for continuous care in the field of sports medicine, not only for the enhancement of health and fitness, but also for the prevention of injury and illness. A sports medicine physician must have knowledge and experience in the promotion of wellness and the prevention of injury. Knowledge about special areas of medicine such as exercise physiology, biomechanics, nutrition, psychology, physical rehabilitation, epidemiology, physical evaluation, injuries (treatment and prevention and referral practice) and the role of exercise in promoting a healthy lifestyle are essential to the practice of sports medicine. The sports medicine physician requires special education to provide the knowledge to improve the health care of the individual engaged in physical exercise (sports) whether as an individual or in team participation. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Family Medicine, 2007. http://www.theabfm.org/. American Osteopathic Board of Family Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225097249 | Zenos Anthony Vangelos | Family Medicine | 26908 Detroit Rd, Ste. 200, Westlake, OH 44145-2398 | 2006-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417467119 | Natalie Marie Dragovich | Family Medicine | 9228 Shepard Rd, Macedonia, OH 44056-1454 | 2017-10-07 |
| 1134547615 | Ryan E Hunt | Family Medicine | 140 Coleman's Crossing Blvd, Suite 110, Marysville, OH 43040 | 2014-04-02 |
| 1295152296 | Benjamin Ross Ahrens | Family Medicine | 4343 All Seasons Dr Ste 100, Hilliard, OH 43026-1961 | 2014-03-27 |
| 1083039309 | Jamie Delvecchio | Family Medicine | 150 7th Ave Ste 200, Chardon, OH 44024 | 2014-02-24 |
| 1669815445 | Anthony Peter Mckeen | Family Medicine | 1900 S Union Ave Ste 100, Alliance, OH 44601-4355 | 2013-04-11 |
| 1053661322 | Greene Memorial Hospital Services, Inc. | Family Medicine | 6645 Morris Rd, Hamilton, OH 45011-5417 | 2012-09-14 |
| 1700142734 | Jeffrey Aaron James | Family Medicine | 2350 Miami Valley Dr Ste 320a, Dayton, OH 45459-4778 | 2012-04-04 |
| 1568751790 | Raul A Raudales Jr. | Family Medicine | State Rte 159, Ste G15, Chillicothe, OH 45601 | 2011-03-28 |
| 1255639381 | Ohiohealth Corporation | Family Medicine | 1797 Hill Rd N Ste 100, Pickerington, OH 43147-7998 | 2011-03-15 |
| 1811295900 | Ohiohealth Corporation | Family Medicine | 94 N High St Ste 200, Dublin, OH 43017-1194 | 2011-03-14 |
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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.