Individual provider Active NPI

Eric Goddard Heegaard, MD

  • Obstetrics & Gynecology Physician
  • Minneapolis, MN
National Provider Identifier
1407852197
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
39064 Issued in MN
Practice address
715 S 8TH St
Minneapolis, MN 55404-1210
Phone
(612) 873-6963
NPI assigned
Jun 27, 2005
Last updated
Oct 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 39064 MN Primary

Addresses

Primary practice location

715 S 8TH St
Minneapolis, MN 55404-1210

Mailing address

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-3000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MN
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
I20040610001219 MN Practitioner - Obstetrics/Gynecology 7113900135 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Minnesota Medical School, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allina Health SystemGroup PAC ID 4587573613, shared by 87 NPIs, 3,844 clinicians
Centracare Clinic Southwest LLCGroup PAC ID 8426457946, 172 clinicians
Hennepin Healthcare System IncGroup PAC ID 4789684861, 905 clinicians

Practice addresses (Care Compare)

100 State Ave
Faribault, MN 55021-6337
Phone (507) 334-3921

2925 Chicago Ave
Minneapolis, MN 55407-1321
Phone (651) 262-7633

502 2ND St SW
Willmar, MN 56201-3337
Phone (320) 231-8888

701 Park Ave
Minneapolis, MN 55415-1623
Phone (612) 873-6963

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
39064MNMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hennepin Healthcare System, Inc Current Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region Current Accepting new patients
Carris Health LLC CurrentSince Dec 1, 2024 Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Dec 1, 2024 Accepting new patients
Allina Health System Obstetrics & Gynecology Current Accepting new patients
Mayo Clinic Health System-Fairmont CurrentSince Mar 19, 2024 Accepting new patients
Hennepin Healthcare System, Inc CurrentSince Jun 1, 2019 Accepting new patients
Carris Health LLC CurrentSince Dec 1, 2024 Accepting new patients
Allina Health System Current Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jun 6, 2022 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jun 6, 2022 Accepting new patients
Mayo Clinic Health System-Southwest Minnesota Region CurrentSince Jun 6, 2022 Accepting new patients
Hennepin Healthcare System Inc CurrentSince Jun 1, 2019 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region CurrentSince Jun 6, 2022 Accepting new patients
Allina Health System CurrentSince Jun 24, 2024 Accepting new patients
Mayo Clinic Health System-Southeast Minnesota Region Current Accepting new patients
Centracare Clinic Southwest LLC CurrentSince Dec 1, 2024 Accepting new patients
Allina Health System CurrentSince Jun 24, 2024 Accepting new patients
Allina Health System CurrentSince Jun 24, 2024 Accepting new patients
Allina Health System Past Accepting new patients
Carris Health LLC Past Accepting new patients
Metropolitan Obstetrics & Gynecology Obstetrics & Gynecology Past Accepting new patients
North Memorial Health Care Past Accepting new patients

Locations

404 W Fountain St
Albert Lea, MN 56007
Phone (507) 377-6285

440 Elm St E
Annandale, MN 55302
Phone (320) 682-5225

800 Medical Center Dr
Fairmont, MN 56031
Phone (507) 238-8100

100 State Ave
Faribault, MN 55021
Phone (507) 334-3921

1025 Marsh St
Mankato, MN 56001
Phone (507) 345-2623

2215 Park Ave
Minneapolis, MN 55404
Phone (612) 775-8800

2925 Chicago Ave
Minneapolis, MN 55407
Phone (612) 262-4813

2925 Chicago Ave
#10957
Minneapolis, MN 55407
Phone (612) 262-8640

701 Park Ave
Minneapolis, MN 55415
Phone (612) 873-6005

715 S 8th St
Minneapolis, MN 55404
Phone (612) 873-6010

7250 France Ave S
Ste 100
Minneapolis, MN 55435
Phone (952) 806-0011

600 Peterson Pkwy
New London, MN 56273
Phone (320) 354-2222

1020 Bandana Blvd W
Saint Paul, MN 55108
Phone (651) 641-1000

301 Becker Ave SW
Willmar, MN 56201
Phone (320) 231-4120

502 2nd St SW
Willmar, MN 56201
Phone (320) 231-8740

Interoperability endpoints

  • Direct secure messaging: eheegaard858744@direct.centracare.com

Organizations & group practices 23

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

View all 23

Hospital & facility affiliations 2

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": "1119830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730332800000",
    "number": "1407852197",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "701 PARK AVE",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554151623",
            "telephone_number": "612-873-3000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 S 8TH ST",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554041210",
            "telephone_number": "612-873-6963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEEGAARD",
        "first_name": "ERIC",
        "middle_name": "GODDARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-27",
        "last_updated": "2024-10-31",
        "certification_date": "2024-10-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MN",
            "license": "39064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Minneapolis, MN

Sources for this page

Verify at the official NPI Registry.