DR. MARK H HEINICKE M.D. NPI 1659400976

NPI Information

NPI: 1659400976
Provider Name: DR. MARK H HEINICKE, M.D.
Classification: Internal Medicine - 207RR0500X
Entity Type: Individual

Specialization: Rheumatology

Address:
332 W BROADWAY STE 217
LOUISVILLE, KY
ZIP 40202
Phone: (502) 589-2063
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DR. Mark H Heinicke, M.D. is a rheumatology internal medicine in Louisville, KY. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. DR. Mark H Heinicke, M.D. NPI is 1659400976. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

332 W BROADWAY STE 217
LOUISVILLE, KY
ZIP 40202-114
Phone: (502) 589-2063

The enumeration date for this NPI number is 3/4/2007 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207RR0500X	Internal Medicine	Rheumatology	21176	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State
1	1329301	MEDICARE ID-TYPE UNSPECIFIED	KENTUCKY
2	C74380	MEDICARE UPIN	KENTUCKY
3	64211766	MEDICAID	KENTUCKY

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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