Marge Heine, C.C.P.

Primary specialty

PerfusionistTaxonomy code 242T00000X

Practice address

2753 E Broadway Rd
Suite 101-454
Mesa, AZ 85204-1579

Phone

(480) 659-6964

Fax

(480) 659-6791

NPI assigned

Jul 8, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1152316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1250553600000",
    "number": "1346273141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 27588",
            "city": "TEMPE",
            "state": "AZ",
            "postal_code": "852857588",
            "telephone_number": "480-777-0607",
            "fax_number": "480-777-1345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2753 E BROADWAY RD",
            "address_2": "SUITE 101-454",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852041579",
            "telephone_number": "480-659-6964",
            "fax_number": "480-659-6791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINE",
        "first_name": "MARGE",
        "name_prefix": "Mrs.",
        "credential": "C.C.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-08",
        "last_updated": "2009-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "242T00000X",
            "taxonomy_group": "",
            "desc": "Perfusionist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "004052",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• John D Heick, PT, DPT
• Lauren Heid
• Heidi'S Haven
• Claire Heilman
• Clareen M Heim
• Duane W Heinrichs, MD
• GG Heintz-Jacobs, M.A.
• Taylor Lee Heintz, PHARMD
• Heinz J Elsner MD PC
• Grant W Heinz, MD

• Perfusionist in Mesa, AZ
• Providers in Mesa, AZ by specialty
• Perfusionist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2009; 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.