Paul A Heidel, M.D.

Primary specialty

Public Health & General Preventive Medicine PhysicianTaxonomy code 2083P0901X

License

4301029419 Issued in MI

Practice address

12251 James St
Suite 400
Holland, MI 49424

Phone

(616) 494-5548

Fax

(616) 393-5643

NPI assigned

Sep 20, 2006

Sex

Male

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 4

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1326067200000",
    "number": "1962509349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12251 JAMES ST",
            "address_2": "SUITE 400",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "494249675",
            "telephone_number": "616-494-5548",
            "fax_number": "616-393-5643"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12251 JAMES ST",
            "address_2": "SUITE 400",
            "city": "HOLLAND",
            "state": "MI",
            "postal_code": "49424",
            "telephone_number": "616-494-5548",
            "fax_number": "616-393-5643"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIDEL",
        "first_name": "PAUL",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2012-01-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083P0901X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Public Health & General Preventive Medicine",
            "state": "MI",
            "license": "4301029419",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363112",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363121",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363130",
            "state": "MI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4363140",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• HCH Home Health Care Corporation (Holland Home Care)
• Healthzone Chiropractic 4 PC
• Heartland of Holland Mi LLC (Heartland of Holland)
• Erin Heavilin
• Ann Marie Heerde, LMSW
• Brienne Heim
• Jessica Heins
• Michelle G Heitman
• Sara Helder
• Lara Marie-Daverman Helmus, LMSW, ACSW

• Public Health & General Preventive Medicine Physician in Holland, MI
• Providers in Holland, MI by specialty
• Public Health & General Preventive Medicine Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2012; 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.