Heide'S Mastectomy Services, Inc.

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

N/A Issued in MN

Legal business name

HEIDE'S MASTECTOMY SERVICES, INC.

Doing business as

Heide's

Practice address

3400 W 66TH St
Suite 440
Edina, MN 55435-2111

Phone

(952) 925-7837

Fax

(952) 925-1081

NPI assigned

Oct 18, 2006

Organization subpart

No

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

Authorized official

Name

Ms. Kathleen Ruth Heide-Wrazidlo, CFM CFC

Title

Owner

Phone

(952) 925-7837

Specialties & licenses 2

Addresses

Other identifiers 6

Other names 1

• Heide's Doing business as

Medicare fee-for-service enrollment

Enrolled in MN

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

Locations

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

{
    "created_epoch": "1161129600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525651200000",
    "number": "1154402600",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST STE 245",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352170",
            "telephone_number": "952-925-7837",
            "fax_number": "952-925-1081"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3400 W 66TH ST",
            "address_2": "SUITE 440",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554352111",
            "telephone_number": "952-925-7837",
            "fax_number": "952-925-1081"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDE'S MASTECTOMY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-18",
        "last_updated": "2018-05-07",
        "status": "A",
        "authorized_official_last_name": "HEIDE-WRAZIDLO",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_middle_name": "RUTH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "952-925-7837",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "CFM  CFC"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "MN",
            "license": "N/A",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UCARE",
            "identifier": "106055",
            "state": "FM"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTH PARTNERS",
            "identifier": "15908",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PREFERRED ONE",
            "identifier": "01006410",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICA",
            "identifier": "8211002",
            "state": "MN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3299743",
            "state": "MN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "968563400",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heide's",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Heide's",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Adam Hecht, MD
• Kathryn Hecht, PH.D., L.P.
• Levi Robert Hedine, CMT
• Shruti Ulhas Hegde, PA-C
• Kari Ann Hegg, PA
• Elizabeth Anne Heidenreich, PSY.D. LP
• Heidi M Brandenburg DDS PA
• Marguerite Y Heie, P.T.
• Steven Heifetz, M.D.
• Christie Sue Heikes, MD

• Durable Medical Equipment & Medical Supplies in Edina, MN
• Providers in Edina, MN by specialty
• Durable Medical Equipment & Medical Supplies in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.