DR. MARK H HEINICKE (NPI# 1659400976) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659400976 |
| Entity Type | Individual |
| Full Name | DR. MARK H HEINICKE |
| Credential | M.D. |
| Practice Address |
332 W Broadway Ste 217 Louisville KY 40202-2114 |
| Practice Telephone | 5025892063 |
| Mailing Telephone | 5025892063 |
| Enumeration Date | 2007-03-04 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
21176 | KY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | 64211766 | 05 |
| Street Address |
332 W BROADWAY STE 217 |
| City | LOUISVILLE |
| State | KY |
| Zip Code | 40202-2114 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972129682 | Garvit Chhabra | Student in an Organized Health Care Education/Training Program | 550, South Jackson Street, Acb, Third Floor, Louisville, KY 40202 | 2020-06-18 |
| 1396367009 | Richele Williams | Student in an Organized Health Care Education/Training Program | 201 Abraham Flexner Way Department of Family and Pediac, Suite 690, Louisville, KY 40202 | 2020-05-15 |
| 1942822028 | Ahmed Khaled Saleh | Student in an Organized Health Care Education/Training Program | 500 S Jackson St, Room 305, Louisville, KY 40202 | 2020-05-12 |
| 1457972952 | Mir Ali Raza Talpur | Student in an Organized Health Care Education/Training Program | 401 E Chestnut Street, Suite 600 University of Louisvi, Louisville, KY 40202 | 2020-05-06 |
| 1316575533 | Abigail Hatfield | Student in an Organized Health Care Education/Training Program | Internal Medicine Training Program, 550 South Jackson Street, Acb 3rd Floor, Louisville, KY 40202 | 2020-04-01 |
| 1851929210 | Madison Harmon | Student in an Organized Health Care Education/Training Program | Uofl Department of Emergency Medicine, 530 S. Jackson Street Room C1h17, Louisville, KY 40202 | 2020-03-31 |
| 1184252041 | Marianna Weaver | Student in an Organized Health Care Education/Training Program | 550 South Jackson Street, Acb 3rd Floor, University of Louisville, Louisville, KY 40202 | 2020-03-27 |
| 1700347341 | Charles Jake Sadle | Student in an Organized Health Care Education/Training Program | Office of Medical Education C/o Brittney Luckett, 571 S. Floyd St., Ste. 412, Louisville, KY 40202 | 2019-03-27 |
| 1437616794 | Paladina Health, LLC | Family Medicine | Paladina Health Humana East, 123 E Main Street, Louisville, KY 40202 | 2019-02-22 |
| 1205393568 | Paladina Health, LLC | Family Medicine | Paladina Health Humana West, 500 W Main Street, Louisville, KY 40202 | 2019-02-22 |
| Find all providers in zip 40202 | ||||
| Taxonomy Code | 207RR0500X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Rheumatology |
| An internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and "collagen" diseases. |
| 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 Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154769131 | Jacquelyn Smith | Internal Medicine | 3430 Newburg Rd Ste 250, Louisville, KY 40218-2458 | 2013-06-12 |
| 1063705432 | Archana Srinivas | Internal Medicine | 3991 Dutchmans Lane, Suite 300, Norton Rheumatology Associates, Louisville, KY 40207-0000 | 2011-05-18 |
| 1023516028 | Community Medical Associates, Inc. | Internal Medicine | 1930 Bishop Ln Ste 1017, Louisville, KY 40218 | 2018-01-25 |
| 1699219477 | Joint Endeavors Pllc | Internal Medicine | 127 Fairfax Ave, Louisville, KY 40207-4905 | 2016-12-13 |
| 1447600622 | Lake Cumberland Rheumatology Pllc | Internal Medicine | 3901 Dutchmans Lane, Suite 202, Louisville, KY 40207-4727 | 2016-06-17 |
| 1407214414 | Community Medical Associates, Inc. | Internal Medicine | 1930 Bishop Ln, Suite 1017, Louisville, KY 40218 | 2016-02-04 |
| 1144595489 | University of Louisville Physicians, Inc | Internal Medicine | 401 E Chestnut St, Suite 310, Louisville, KY 40202-5700 | 2012-03-20 |
| 1477843308 | Ami Joglekar | Internal Medicine | 3991 Dutchmans Lane, Suite 300, Louisville, KY 40207-4723 | 2011-04-12 |
| 1780919407 | David H Neustadt Psc | Internal Medicine | 234 E Gray St, Suite 328, Louisville, KY 40202-1900 | 2009-10-14 |
| 1427242544 | Norman A. Cummings, M.d. | Internal Medicine | 1169 Eastern Pkwy, Suite 3451, Louisville, KY 40217-1417 | 2007-08-31 |
| Find all providers in LOUISVILLE | ||||
| City | LOUISVILLE |
| Zip Code | 40202 |
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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.