CHRISTINA M HEIDENBERGER (NPI# 1912211418) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912211418 |
| Entity Type | Individual |
| Full Name | CHRISTINA M HEIDENBERGER |
| Credential | PA |
| Practice Address |
430 Morton Plant St Ste 206 Clearwater FL 33756-3396 |
| Mailing Address |
12109 County Road 103 Oxford FL 34484-2951 |
| Practice Telephone | 7274411508 |
| Practice Fax Number | 7274437780 |
| Mailing Telephone | 3522058981 |
| Mailing Fax Number | 3523916498 |
| Enumeration Date | 2010-07-27 |
| Last Update Date | 2018-02-15 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9110935 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| N | 363AM0700X |
Physician Assistant Specialization: Medical |
2606-023 | WI | Physician Assistants & Advanced Practice Nursing Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1111 Delafield St Ste 207, Urology Associates Ltd Sc, Waukesha, WI 531883403 | 2624463593 | 2624460477 |
| Street Address |
430 MORTON PLANT ST STE 206 |
| City | CLEARWATER |
| State | FL |
| Zip Code | 33756-3396 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801116108 | Anne Gamache | Physical Therapist | 430 Morton Plant St Ste 206, Clearwater, FL 33756-3396 | 2010-06-09 |
| 1528300712 | Jonathan Andrew Beilan | Urology | 430 Morton Plant St Ste 206, Clearwater, FL 33756-3396 | 2013-03-26 |
| 1619216454 | Juanita Klim Flashenburg | Nurse Practitioner | 430 Morton Plant St Ste 206, Clearwater, FL 33756-3396 | 2013-02-13 |
| 1124316088 | Nicole Marie Szell | Urology | 430 Morton Plant St Ste 206, Clearwater, FL 33756-3396 | 2011-07-13 |
| 1336439702 | Matthew D Truesdale | Urology | 430 Morton Plant St Ste 206, Clearwater, FL 33756 | 2011-04-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659998060 | Guidewell Emergency Medicine Doctors, LLC | Clinic/Center | 1603 Missouri Ave, Clearwater, FL 33756 | 2020-07-01 |
| 1578104527 | M.k. El-yousef, M.d. LLC | Psychiatry & Neurology | 1555 S. Ft Harrison Ave, Clearwater, FL 33756 | 2019-10-01 |
| 1124672670 | Kayla Marie Flook | Counselor | 1106 Druid Rd S Suite 201, Clearwater, FL 33756 | 2019-08-01 |
| 1285192989 | Amy Elizabeth Dickson | Social Worker | 1260 S Mlk Jr Ave Ste D, Clearwater, FL 33756 | 2019-03-12 |
| 1548789951 | J. Carson Woolwine O.d. Pllc. | Optometrist | 912 S. Missouri Ave., Clearwater, FL 33756 | 2017-09-18 |
| 1760912349 | Kelly Morrissey | Counselor | 1240 South Fort Harrison Ave., Clearwater, FL 33756 | 2017-06-15 |
| 1972033744 | Edward Lewis Smith | Audiologist-Hearing Aid Fitter | 820 S Fort Harrison, Clearwater, FL 33756 | 2017-06-14 |
| 1700310422 | Dedicated Senior Medical Center Clearwater, LLC. | Non-Pharmacy Dispensing Site | 855 S Highland Avenue, Dedicated Senior Medical Center St. Clearwater, LLC., Clearwater, FL 33756 | 2017-04-19 |
| 1306268339 | Theresa Anne Ritz | Counselor | 1260 S Martin Luther King Jr Ave Ste D, Clearwater, FL 33756 | 2014-01-10 |
| 1649513276 | Kerry Eileen Reller | Family Medicine | 708 Druid Rd. E, Clearwater, FL 33756 | 2013-04-02 |
| Find all providers in zip 33756 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275162612 | Scott Bolton | Physician Assistant | 19369 Us Highway 19 N Apt 416, Clearwater, FL 33764-3317 | 2020-04-07 |
| 1861675654 | Statmed Quick Quality Clinic At North Pinellas LLC | Physician Assistant | 27001 Us Highway 19 N Ste 1033b, Clearwater, FL 33761-3407 | 2007-12-14 |
| 1063579845 | Maria Angelica Boyle | Physician Assistant | 920 S. Myrtle Ave, Ste#a, Clearwater, FL 33756-3918 | 2007-01-02 |
| 1427086578 | Deanna Schmidt | Physician Assistant | 615 Nelson Dr, Clearwater, MN 55320 | 2006-06-29 |
| 1033180146 | Veronica T Stephan | Physician Assistant | 1180 Ponce Deleon Blvd, Suite 401, Clearwater, FL 33756 | 2006-01-27 |
| 1184101735 | Kristen Nicole Bramlet | Physician Assistant | 2 N Belcher Rd, Clearwater, FL 33765-3201 | 2018-07-26 |
| 1639661424 | Danielle Flareau Bell | Physician Assistant | 711 S Belcher Rd, Clearwater, FL 33764-6326 | 2018-06-06 |
| 1962921577 | Kellie Christine Woods | Physician Assistant | 300 Pinellas St, Clearwater, FL 33756-3804 | 2017-09-14 |
| 1891143210 | Jalina Noelle Sabatose | Physician Assistant | 18167 Us Highway 19 N Ste 650, Clearwater, FL 33764-6576 | 2016-05-26 |
| 1760852800 | Kristin Feid | Physician Assistant | 300 Pinellas St, Clearwater, FL 33756-3804 | 2015-10-01 |
| Find all providers in CLEARWATER | ||||
| City | CLEARWATER |
| Zip Code | 33756 |
Please comment or provide details below to improve the information on CHRISTINA M HEIDENBERGER.
| 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.