CHRISTINA M HEIDENBERGER PA NPI 1912211418

NPI Information

NPI: 1912211418
Provider Name: CHRISTINA M HEIDENBERGER, PA
Classification: Physician Assistant - 363AM0700X
Entity Type: Individual

Specialization: Medical

Organization: BAYCARE MEDICAL GROUP, INC.

PECOS Registration: Yes

Address:
430 MORTON PLANT ST STE 206
CLEARWATER, FL
ZIP 33756
Phone: (727) 441-1508
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Christina M Heidenberger, PA is a medical physician assistant in Clearwater, FL with 14 years of experience. Christina M Heidenberger, PA NPI is 1912211418. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

430 MORTON PLANT ST STE 206
CLEARWATER, FL
ZIP 33756-396
Phone: (727) 441-1508
Fax: (727) 443-7780

The NPI 1912211418 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 7/27/2010 and was last updated on 2/15/2018.

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	363AM0700X	Physician Assistant	Medical	2606-023	WISCONSIN	No
2	363AM0700X	Physician Assistant	Medical	PA9110935	FLORIDA	Yes

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: 11/14/2023

NPI Synchronization or Removal

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