Individual provider Active NPI

Maureen Elizabeth Heurich, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Coraopolis, PA
National Provider Identifier
1306286596
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
SC006704 Issued in PA
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

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
500448WMFMedicaidPA

Other names 1

  • Maureen Elizabeth Allanson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20160525000365 PA Practitioner - Podiatry 8921397357

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
SC006704PAMDFoot & 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

Verify at the official NPI Registry.