NPIMap

Organization Active NPI

Hea Gynecology

  • Gynecology Physician
  • Rochester, MI
National Provider Identifier
1033966569
Registry record updated May 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
HEA GYNECOLOGY
Practice address
543 N. Main St. Suite 122
Rochester, MI 48307-1485
Phone
(248) 601-5055
Fax
(248) 659-1639
NPI assigned
May 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Deanne Kiba, DO
Title
Owner / Doctor
Phone
(248) 601-5055

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207VG0400X Primary

Addresses

Primary practice location

543 N. Main St. Suite 122
Rochester, MI 48307-1485

Mailing address

543 N. Main St. Suite 122
Rochester, MI 48307-1485
Phone (248) 601-5055

National Provider Directory

National Provider Directory

Locations

543 N Main St
Ste 122
Rochester, MI 48307
Phone (248) 601-5055

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1714608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714608000000",
    "number": "1033966569",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 N. MAIN ST. SUITE 122",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071485",
            "telephone_number": "248-601-5055",
            "fax_number": "248-659-1639"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 N. MAIN ST. SUITE 122",
            "city": "ROCHESTER",
            "state": "MI",
            "postal_code": "483071485",
            "telephone_number": "248-601-5055",
            "fax_number": "248-659-1639"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEA GYNECOLOGY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-02",
        "last_updated": "2024-05-02",
        "certification_date": "2024-05-02",
        "status": "A",
        "authorized_official_last_name": "KIBA",
        "authorized_official_first_name": "DEANNE",
        "authorized_official_title_or_position": "OWNER  / DOCTOR",
        "authorized_official_telephone_number": "248-601-5055",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rochester, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.