Erik C Heinzen, PA

Primary specialty

Surgical Physician AssistantTaxonomy code 363AS0400X

License

2030 Issued in CO

Practice address

2055 High St
#130
Denver, CO 80205-5504

Phone

(303) 861-2663

Fax

(303) 861-4741

NPI assigned

Oct 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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

{
    "created_epoch": "1160352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1357776000000",
    "number": "1689761736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4900 S MONACO ST",
            "address_2": "SUITE 210",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802373486",
            "telephone_number": "303-861-2663",
            "fax_number": "303-861-4741"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2055 HIGH ST",
            "address_2": "#130",
            "city": "DENVER",
            "state": "CO",
            "postal_code": "802055504",
            "telephone_number": "303-861-2663",
            "fax_number": "303-861-4741"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEINZEN",
        "first_name": "ERIK",
        "middle_name": "C",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-09",
        "last_updated": "2013-01-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CO",
            "license": "2030",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "WY",
            "license": "489",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1689761736",
            "state": "SD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125465100",
            "state": "WY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00774545",
            "state": "CO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200743780A",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Katherine Heinrich, L.AC
• Amanda Gail Heinrichs Tyacke, RN
• Sheila Heintzelman
• Hayley Michelle Heinz, NP
• Katie Heinz
• Alison Cordelia Heiser, LPC
• Alishia Marie Heit, RN
• Kelli Heit
• Susan Heitler, PH.D.
• Ned B Heitz, RPH

• Surgical Physician Assistant in Denver, CO
• Providers in Denver, CO by specialty
• Surgical Physician Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 10, 2013; 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.