Thomas James Heinitz, M.D.
Individual provider Active NPI Family Medicine Physician · Proctor, MN
NPI 1629022397 · NPPES record last updated Dec 20, 2011
Key facts
- NPI
- 1629022397
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 41634 (MN)
- Practice address
- 211 S Boundary Ave
Essentia Health Proctor Clinic
Proctor, MN 55810-2306 - Phone
- (218) 576-0200
- Fax
- (218) 624-7323
- NPI assigned
- May 19, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 38
Hospital & facility affiliations 10
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- University of Minnesota Medical School, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Polinsky Medical Rehabilitation Center
Duluth Graduate Medical Education Council Inc
The Duluth Clinic LTD
Practice addresses (Care Compare)
1600 Miller Trunk Hwy
BLDG C
Duluth, MN 55811-5640
Phone (218) 786-5360
330 N 8TH Ave E
Duluth, MN 55805-2024
Phone (218) 723-1112
400 E 3Rd St
Duluth, MN 55805-1951
Phone (218) 786-8364
Hospital & facility affiliations
- Centerwell Home Health
- Ecumen Home Care Lakeshore
- Essentia Health Moose Lake Home Care
- Aveanna Home Health
- Essentia Health Duluth
- Essentia Health Moose Lake
- Essentia Health St Mary'S Medical Center
- St Marys Hospital Superior
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 1-10 |
| Skin biopsy | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MN
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20060220000297 | MN | Practitioner - Family Practice | 7416962923 | Reassigns benefits to 5 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St Marys Medical Center | Current |
Accepting new patients | |
| Essentia Health Moose Lake | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current | Accepting new patients | |
| Essentia Health Virginia, LLC | Current |
Accepting new patients | |
| Essentia Health Virginia, LLC | Current |
Accepting new patients | |
| The Duluth Clinic, LTD. | Current |
Accepting new patients | |
| Duluth Graduate Medical Education Council Inc | Family Medicine | Current |
Accepting new patients |
| The Duluth Clinic LTD | Current | Accepting new patients | |
| The Duluth Clinic, LTD | Current |
Accepting new patients | |
| St. Mary'S Medical Center | Current |
Accepting new patients | |
| Firstsolutions | Past | Accepting new patients | |
| Residential Services of NE MN Inc. | Past |
Accepting new patients | |
| St. Luke'S Hospital of Duluth | Past | Accepting new patients | |
| The Duluth Clinic, LTD | Past | Accepting new patients |
Locations
600 Main Ave S
Birchdale, MN 56623
Phone (218) 634-1655
512 Skyline Blvd
Cloquet, MN 55720
Phone (218) 878-7207
320 E Main St
Crosby, MN 56441
Phone (218) 546-7000
1502 London Rd
Ste 102
Duluth, MN 55812
Phone (218) 576-0100
330 N 8th Ave E
Duluth, MN 55805
Phone (218) 529-9122
402 E 2nd St
Duluth, MN 55805
Phone (218) 786-3443
4212 Grand Ave
Duluth, MN 55807
Phone (218) 786-3500
400 E 3rd St
Duluth, MN 55805
Phone (218) 722-8364
324 W Superior St
Ste 302
Duluth, MN 55802
Phone (218) 722-6613
4855 W Arrowhead Rd
Hermantown, MN 55811
Phone (218) 786-3540
2501 Keenan Dr
Intl Falls, MN 56649
Phone (218) 283-4481
1400 Highway 71
Intl Falls, MN 56649
Phone (218) 283-4481
4572 County Road 61
Moose Lake, MN 55767
Phone (218) 485-4481
211 S Boundary Ave
Proctor, MN 55810
Phone (218) 624-4818
901 9th St N
Virginia, MN 55792
Phone (218) 741-3340
603 9th St N
Virginia, MN 55792
Phone (218) 741-3013
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 41634 | MN | Yes |
Addresses
Primary practice location
211 S Boundary Ave
Essentia Health Proctor Clinic
Proctor, MN 55810-2306
Mailing address
211 S Boundary Ave
Essentia Health Proctor Clinic
Proctor, MN 55810-2306
Phone (218) 576-0200
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629022397 | Medicaid | MI | |
| 1629022397 | Medicaid | WI | |
| 1629022397 | Medicaid | MN |
Other providers in Proctor, MN
- Firstsolutions
- Kelly A Geraghty
- Jessica A Gerlach
- Golden Oaks Advanced Assisted Living Plus - Proctor
- Abigail Lynn Haugen
- Theresa Mae Krajewski
- Jessica Ann Linsten
- LTC Prescription Providers #2
- LTC Prescription Providers Inc
- Lynn Taylor Maclean
All providers in Proctor, MN · Family Medicine Physician in Minnesota
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 20, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.