NPIMap

Organization Active NPI

Heiden Orthopedics,LLC

  • Sports Medicine (Orthopaedic Surgery) Physician
  • Park City, UT
National Provider Identifier
1386896652
Registry record updated May 24, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Orthopaedic Surgery) PhysicianTaxonomy code 207XX0005X
Legal business name
HEIDEN ORTHOPEDICS,LLC
Practice address
2200 Park Ave
BLDG D, Suite 100
Park City, UT 84060-7246
Phone
(435) 615-8822
Fax
(435) 615-8823
NPI assigned
Oct 17, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 24, 2012

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

Authorized official

Name
Eric Heiden, M.DNPI 1922098334
Title
Physician/Owner
Phone
(435) 615-8822

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Orthopaedic Surgery) PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207XX0005X Primary

Addresses

Primary practice location

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

Mailing address

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20090316000218 UT Part B Supplier - Clinic/Group Practice 2163589391 Receives reassigned benefits from 8 practitioners
Practice locations: Heber City, UT; Tooele, UT; Park City, UT; Salt Lake City, UT
O20170217000933 UT DME Supplier - Multi-Specialty - Physician 2163589391 Practice locations: Salt Lake City, UT

National Provider Directory

National Provider Directory

Locations

322 E Gateway Dr
Heber City, UT 84032
Phone (435) 654-1377

1716 N Highway 40
Heber City, UT 84032

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

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

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

2356 N 400 E
Ste 102
Tooele, UT 84074
Phone (435) 615-8822

Practitioners & affiliated clinicians

Practitioners 11

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1224201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337817600000",
    "number": "1386896652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2200 PARK AVE",
            "address_2": "BLDG D, SUITE 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",
            "address_2": "BLDG D, SUITE 100",
            "city": "PARK CITY",
            "state": "UT",
            "postal_code": "840607246",
            "telephone_number": "435-615-8822",
            "fax_number": "435-615-8823"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDEN ORTHOPEDICS,LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-17",
        "last_updated": "2012-05-24",
        "status": "A",
        "authorized_official_last_name": "HEIDEN",
        "authorized_official_first_name": "ERIC",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "435-615-8822",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "207XX0005X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Park City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.