Mark H Heinicke, M.D.

Primary specialty

Rheumatology PhysicianTaxonomy code 207RR0500X

License

21176 Issued in KY

Practice address

332 W Broadway Ste 217
Louisville, KY 40202-2114

Phone

(502) 589-2063

NPI assigned

Mar 4, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Doctor of Medicine

State licenses

Practice roles

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

• Kentuckiana Center for Better Bone & Joint Health PLLC

  • Rheumatology Physician
  • Louisville, KY
  • NPI 1922081546
  NPD (past)

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

{
    "created_epoch": "1172966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1659400976",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY STE 217",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022114",
            "telephone_number": "502-589-2063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "332 W BROADWAY STE 217",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402022114",
            "telephone_number": "502-589-2063"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINICKE",
        "first_name": "MARK",
        "middle_name": "H",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-03-04",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RR0500X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Rheumatology",
            "state": "KY",
            "license": "21176",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "64211766",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Madison K Heine, DMD
• Michael F Heine, MD
• Timothy Allen Heine, MD
• Destinee Heiner
• Joshua Dean Heines, MA, ATC
• Kristin Nicole Heinsohn, CRNA
• Jyoti J Heiple, OTR L
• Emma Heironimus
• Erica Heishman, APRN
• Isabel Heisler, WELLNESS COACH

• Rheumatology Physician in Louisville, KY
• Providers in Louisville, KY by specialty
• Rheumatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.