Individual provider Active NPI

Karen D. Heiden, MD

  • Orthopaedic Hand Surgery Physician
  • Park City, UT
National Provider Identifier
1346230760
Registry record updated Oct 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Hand Surgery PhysicianTaxonomy code 207XS0106X
License
A602420 Issued in CA
Practice address
2200 Park Ave BLDG D
Ste 100
Park City, UT 84060-7246
Phone
(435) 615-8822
Fax
(435) 615-8823
NPI assigned
Oct 26, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Hand Surgery Physician 207XS0106X A602420 CA Primary

Addresses

Primary practice location

2200 Park Ave BLDG D
Ste 100
Park City, UT 84060-7246

Mailing address

2200 Park Ave BLDG D
Ste 100
Park City, UT 84060-7246
Phone (435) 615-8822

Other identifiers 1

IdentifierTypeStateIssuer
00A602420MedicaidCA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061010000031 UT Practitioner - Orthopedic Surgery 1355347618 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Orthopedic Surgery
Education
Stanford University School of Medicine, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heiden Orthopedics,LLCGroup PAC ID 2163589391, 3 clinicians

Practice addresses (Care Compare)

2200 Park Ave
Suite 100
Park City, UT 84060-7246
Phone (435) 615-8822

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
A602420CAMDOrthopaedic Hand Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Heiden Orthopedics,LLC CurrentSince Apr 5, 2009 Accepting new patients
The Orthopedic Clinic LC Orthopaedic Surgery Past Accepting new patients

Locations

1716 N Highway 40
Ste 201
Heber City, UT 84032
Phone (435) 615-8822

2200 Park Ave
Bldg D
Park City, UT 84060
Phone (312) 307-0247

2200 Park Ave
Ste D100
Park City, UT 84060
Phone (435) 615-8822

2200 Park Ave
Ste 100
Park City, UT 84060
Phone (435) 615-8822

6360 S 3000 E
Ste 210
Salt Lake Cty, UT 84121
Phone (435) 615-8822

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1130284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1349222400000",
    "number": "1346230760",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK AVE BLDG D",
            "address_2": "STE 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607246",
            "telephone_number": "435-615-8822",
            "fax_number": "435-615-8823"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 PARK AVE BLDG D",
            "address_2": "STE 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607246",
            "telephone_number": "435-615-8822",
            "fax_number": "435-615-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEN",
        "first_name": "KAREN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-10-26",
        "last_updated": "2012-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "CA",
            "license": "A602420",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00A602420",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

Verify at the official NPI Registry.