DR. MARK E. HEINTZELMAN (NPI# 1437209426) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437209426 |
| Entity Type | Individual |
| Full Name | DR. MARK E. HEINTZELMAN |
| Credential | PH.D. |
| Practice Address |
8050 Hosbrook Rd Suite 402 Cincinnati OH 45236-2994 |
| Practice Telephone | 5137940083 |
| Practice Fax Number | 5137923652 |
| Mailing Telephone | 5137940083 |
| Mailing Fax Number | 5137923652 |
| Enumeration Date | 2007-01-11 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 103TC0700X |
Psychologist Specialization: Clinical |
3577 | OH | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | TAX IDENTIFICATION NUMBER | 31-1210119 | 01 |
| Street Address |
8050 HOSBROOK RD SUITE 402 |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45236-2994 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467471680 | Interim Healthcare of Cincinnati, Inc | Home Health | 8050 Hosbrook Rd, Suite 406, Cincinnati, OH 45236-2994 | 2006-07-19 |
| 1336546688 | Brooke Hogue | Licensed Practical Nurse | 8050 Hosbrook Rd, #406, Cincinnati, OH 45236-2994 | 2014-12-02 |
| 1295138139 | Joyce Ann Thompson-hall | Licensed Practical Nurse | 8050 Hosbrook Rd, Suite 406, Cincinnati, OH 45236-2994 | 2014-10-07 |
| 1144360074 | Interim Homestyles | Home Health | 8050 Hosbrook Rd, Suite 408, Cincinnati, OH 45236-2994 | 2007-02-08 |
| 1053461038 | Gwenn K. Heintzelman | Psychologist | 8050 Hosbrook Rd, Suite 402, Cincinnati, OH 45236-2994 | 2007-01-11 |
| 1073686085 | Jonathan Small | Psychiatry & Neurology | 8050 Hosbrook Rd, Suite 402, Cincinnati, OH 45236-2907 | 2006-11-16 |
| 1134205388 | Susan Gall | Counselor | 8050 Hosbrook Rd, Suite 205, Cincinnati, OH 45236-2994 | 2006-10-31 |
| 1083795272 | Jonathan Small,m.d., Inc. | Psychiatry & Neurology | 8050 Hosbrook Rd, Suite 402, Cincinnati, OH 45236-2907 | 2006-10-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700400975 | Kimberly Lorraine Carter | Technician | 3870 Alta Avenue, # 1, Cincinnati, OH 45236 | 2020-06-03 |
| 1548880032 | Manu Jacob George | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-24 |
| 1497384374 | Haider Hussain Shah | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Road, The Jewish Hospital, Cincinnati, OH 45236 | 2020-04-03 |
| 1467091868 | Wickshire Deer Park Opco LLC | Assisted Living Facility | 3801 East Galbraith Road, Cincinnati, OH 45236 | 2020-01-02 |
| 1205497633 | Nicholas Theodore D'entremont | Student in an Organized Health Care Education/Training Program | 4777 E. Galbraith Street - Jewish Hospital, Cincinnati, OH 45236 | 2019-06-26 |
| 1407410699 | Atchayaa Gunasekharan | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Road, Cincinnati, OH 45236 | 2019-04-24 |
| 1225591043 | Lauren Elizabeth Hamilton | Student in an Organized Health Care Education/Training Program | 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2019-04-09 |
| 1972093714 | Hassan Shafique | Student in an Organized Health Care Education/Training Program | 4777 E Galbraith, Cincinnati, OH 45236 | 2018-05-17 |
| 1912494915 | Milica Antic | Student in an Organized Health Care Education/Training Program | The Jewish Hospital, 4777 East Galbraith Rd, Cincinnati, OH 45236 | 2018-04-16 |
| 1376041061 | Angela Eten | Nurse Practitioner | 4700 E Galbraith Rd Ste 301, Cincinnati, OH 45236 | 2018-01-27 |
| Find all providers in zip 45236 | ||||
| Taxonomy Code | 103TC0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Psychologist |
| Specialization | Clinical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992346217 | Terrace Metrics, Inc. | Psychologist | 1122 Herschel Ave, Cincinnati, OH 45208-3113 | 2019-10-08 |
| 1285286310 | Lisa M Leonard | Psychologist | 1010 Delta Ave Apt 3, Cincinnati, OH 45208-3159 | 2019-07-09 |
| 1083190565 | Katrina Renee Lenz | Psychologist | 2035 Weyer Ave Apt 7, Cincinnati, OH 45212-3066 | 2018-07-17 |
| 1528571841 | Livewell Group | Psychologist | 7781 Cooper Rd, 2nd Floor, Suite 5, Cincinnati, OH 45242-7728 | 2017-11-08 |
| 1710497052 | Timothy Paul Miller | Psychologist | 4163 Hamilton Ave Ste B, Cincinnati, OH 45223 | 2017-09-30 |
| 1265971683 | Lauren Michelle Schmitt | Psychologist | 3333 Burnet Ave., Ml 4002, Cincinnati, OH 45229 | 2017-02-17 |
| 1508225152 | Haviva Epstein Randolph | Psychologist | 7650 Elbrook Ave, Cincinnati, OH 45237-2204 | 2016-02-10 |
| 1174914055 | Benjamin David Dickstein | Psychologist | 323 W 5th St Frnt 1n, Cincinnati, OH 45202-2772 | 2015-02-12 |
| 1629468228 | Amber Stevens | Psychologist | 2245 Gilbert Ave Ste 303, Cincinnati, OH 45206-3000 | 2015-02-03 |
| 1609292606 | Farrah Jacquez | Psychologist | 225 Calhoun St, Suite 280, Cincinnati, OH 45219-1528 | 2014-03-14 |
| Find all providers in CINCINNATI | ||||
| City | CINCINNATI |
| Zip Code | 45236 |
Please comment or provide details below to improve the information on DR. MARK E. HEINTZELMAN.
| 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.