Heidi E Middendorf MD PC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

39035 Issued in NC

Legal business name

HEIDI E MIDDENDORF MD PC

Practice address

180 Providence Rd
Suite 5
Chapel Hill, NC 27514-2206

Phone

(919) 493-0569

Fax

(919) 403-9101

NPI assigned

Mar 21, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Heidi Elise Middendorf, M.D.

Title

President, Owner

Phone

(919) 493-0569

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1174435200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457477408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PROVIDENCE RD",
            "address_2": "SUITE 5",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142206",
            "telephone_number": "919-493-0569",
            "fax_number": "919-403-9101"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PROVIDENCE RD",
            "address_2": "SUITE 5",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275142206",
            "telephone_number": "919-493-0569",
            "fax_number": "919-403-9101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEIDI E MIDDENDORF MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MIDDENDORF",
        "authorized_official_first_name": "HEIDI",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT, OWNER",
        "authorized_official_telephone_number": "919-493-0569",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NC",
            "license": "39035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NUMBER",
            "identifier": "58797",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Randall Shane Hedrick, PHARM.D.
• Stephanie Ann Heeney, PHARMD
• Wilson Carmichael Heflin, RN
• Brandon J Hegele, MD
• Rebecca Ann Heidenberg, MD
• Michael Heidinger
• Joe E Heidrick, PHARM D
• Theresa Ann Heifert, MD
• Lara Holm Heimisdottir, DDS
• James Fontaine Heinl, MD

• Medical Specialty Clinic/Center in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Medical Specialty Clinic/Center in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.