Heather K Dodson, M.D., FAAP

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2002021767 Issued in MO

Practice address

3250 Gordonville Rd
Ste 301
Cape Girardeau, MO 63703-5056

Phone

(573) 334-9641

Fax

(573) 331-3120

NPI assigned

Jul 3, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1272758400000",
    "number": "1962432526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 843225",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641843225",
            "telephone_number": "708-633-1234",
            "fax_number": "708-342-7100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 GORDONVILLE RD",
            "address_2": "STE 301",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035056",
            "telephone_number": "573-334-9641",
            "fax_number": "573-331-3120"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODSON",
        "first_name": "HEATHER",
        "middle_name": "K",
        "credential": "M.D., FAAP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-03",
        "last_updated": "2010-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "MO",
            "license": "2002021767",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HEALTHLINK",
            "identifier": "519387",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MCR",
            "identifier": "370022298",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205977705",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1962432526",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BCBS",
            "identifier": "603529",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Doctor Freeman (The Freeman Clinic)
• Doctors Park Surgery Inc
• Michael James Dodd, D.O.
• Aaron Nicholas Dodge, PA-C
• Brooke Lynn Dodge, PA-C
• Robert W Dodson, M.D.
• Kim Anne Doerge, MSW, LCSW
• Jeremey Scott Dohogne, O.D.
• Mark Alan Donelson, ATC
• Victoria Olivia Dormeyer, MSW, LCSW

• Pediatrics Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Pediatrics Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2010; 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.