Leslie Caroline Heimburger, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

052519 Issued in MI

Practice address

3147 Logan Valley Rd
Traverse City, MI 49684-4772

Phone

(231) 935-0668

Fax

(231) 935-0962

NPI assigned

Jan 25, 2008

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1201219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1289260800000",
    "number": "1386821940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3147 LOGAN VALLEY RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844772",
            "telephone_number": "231-935-0668",
            "fax_number": "231-935-0962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3147 LOGAN VALLEY RD",
            "city": "TRAVERSE CITY",
            "state": "MI",
            "postal_code": "496844772",
            "telephone_number": "231-935-0668",
            "fax_number": "231-935-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIMBURGER",
        "first_name": "LESLIE",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-01-25",
        "last_updated": "2010-11-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "052519",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Montgomery John Hegewald, M.D.
• Sarah Paulina Hegg, LLP
• Robin A Heiges, MSW
• Joseph M Heiler, M.P.T.
• David Heimburger, MD
• Jacqueline Marie Hein, LMSW
• Aaron J. Heindl, M.D.
• Joanna Lee Heindl, DO
• Mark W Heindl, RPH
• Diane Heinlen, OTRL

• Internal Medicine Physician in Traverse City, MI
• Providers in Traverse City, MI by specialty
• Internal Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2010; 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.