Active NPI
Maureen Elizabeth Heurich, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Coraopolis, PA
National Provider Identifier
1306286596
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- SC006704
- Practice address
- 1002 Brodhead Rd
Coraopolis, PA 15108-2325 - Phone
- (724) 775-6168
- NPI assigned
- Jul 2, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | SC006704 | PA | Primary |
Addresses
Primary practice location
1002 Brodhead Rd
Coraopolis, PA 15108-2325
Mailing address
3578 Brodhead Rd
Monaca, PA 15061-3143
Phone (724) 775-6168
Other practice location 1
2351 East 22nd Street
Cleveland, OH 44115
Phone (216) 861-6200
Other practice location 2
2351 East 22nd Street
Cleveland, OH 44115
Phone (216) 861-6200
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 500448WMF | Medicaid | PA |
Other names 1
- Maureen Elizabeth Allanson
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20160525000365 | PA | Practitioner - Podiatry | 8921397357 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| SC006704 | PA | MD | Foot & Ankle Surgery Podiatrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1372723200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1306286596",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3578 BRODHEAD RD",
"city": "MONACA",
"state": "PA",
"postal_code": "150613143",
"telephone_number": "724-775-6168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 BRODHEAD RD",
"city": "CORAOPOLIS",
"state": "PA",
"postal_code": "151082325",
"telephone_number": "724-775-6168"
}
],
"practiceLocations": [
{
"address_1": "2351 East 22nd Street",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44115",
"country_code": "US",
"telephone_number": "216-861-6200",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "2351 East 22nd Street",
"address_purpose": "LOCATION",
"city": "Cleveland",
"state": "OH",
"postal_code": "44115",
"country_code": "US",
"telephone_number": "216-861-6200",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEURICH",
"first_name": "MAUREEN",
"middle_name": "ELIZABETH",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-07-02",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "PA",
"license": "SC006704",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "500448WMF",
"state": "PA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "MAUREEN",
"last_name": "ALLANSON",
"middle_name": "ELIZABETH",
"credential": "D.P.M.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Coraopolis, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.