Heidrich, MD

Primary specialty

General Acute Care HospitalTaxonomy code 282N00000X

License

R71447 Issued in AZ

Legal business name

HEIDRICH, MD

Practice address

1601 E Highland Ave Apt 1138
Phoenix, AZ 85016-4684

Phone

(206) 790-4161

NPI assigned

Nov 1, 2009

Organization subpart

No

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

Authorized official

Name

Bryan Heidrich, MD

Title

Resident

Phone

(206) 790-4161

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

Metro Nashville Public Health Dept103 organizations share this tax ID, including this one

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

{
    "created_epoch": "1257033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1310601600000",
    "number": "1124354865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 E HIGHLAND AVE APT 1138",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164684"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 E HIGHLAND AVE APT 1138",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850164684",
            "telephone_number": "206-790-4161"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDRICH, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-11-01",
        "last_updated": "2011-07-14",
        "status": "A",
        "authorized_official_last_name": "HEIDRICH",
        "authorized_official_first_name": "BRYAN",
        "authorized_official_title_or_position": "RESIDENT",
        "authorized_official_telephone_number": "206-790-4161",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AZ",
            "license": "R71447",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AZ STATE LICENSE",
            "identifier": "R71447",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Andrew Heglin, PHARMD
• Jessica Heide-Holwell
• James F Heidenreich, D.M.D.
• Heidi Pence Psynp, Inc
• Heidi Pino PLLC
• Maureen Bridget Heier, LPC
• James F Heil Jr., PA-C
• Robert Heiligenberg, MSN, PMHNP-BC
• Anya Heiliger, RN
• Ammiel Renae Heim, LCSW

• General Acute Care Hospital in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• General Acute Care Hospital in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2011; 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.