The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...
NPI | 1396738746 |
NPI Entity Type | Individual |
Provider Name | DR. D.D.S., M.D. Peter J. Heath |
Enumeration Date | September 30, 2009 |
Last Update Date | September 30, 2009 |
Provider Location Address | 270 E Day Rd, Suite 260, Mishawaka, IN, US |
Provider Mailing Address | 270 E Day Rd, Suite 260, Mishawaka, IN, US, 465453444 |
Is Sole Proprietor? | No |
Taxonomy Code | |
Taxonomy Name | Oral & Maxillofacial Surgery (D.M.D.) |
Classification | |
Group | |
License No. | 12434R |
License State | LA |
Description | Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. |
Taxonomy Code | Group | Classification | License No. | State | Primary? |
---|---|---|---|---|---|
9545 | MD | No | |||
2503 | NH | No |
Identifier | Identifier State | Identifier Issuer | Type/Code |
---|---|---|---|
01063978A | IN | IN MEDICAL LICENSE | 01 |
200870900 | IN | MEDICAID | 05 |
2503 | NH | DENTAL LICENSE (INACTIVE) | 01 |
9545 | MD | DENTAL LICENSE | 01 |
12011044A | IN | IN DENTAL LICENSE | 01 |
12434R | LA | MEDICAL LICENSE | 01 |
NPI | Name | Taxonomy | Address |
---|---|---|---|
Nicole M Blauvelt Individual |
11109 Parkview Plaza Dr |
||
PA-C Kristin E Pletcher Individual |
3909 New Vision Dr |
||
DR. MD David J Wittbrodt Individual |
1169 N Main St Ste 7 |
||
D.O. Ellen Szwed Individual |
11050 Parkview Circle Dr |
||
MS. Andrea Jo Lynne Adams Individual |
4444 Jamestown Ct Apt F |
||
Melissa Lucio Individual |
3512 Stellhorn Rd |
||
FNP-C Colleen Conwell Individual |
3909 New Vision Dr |
||
MD David E Schleinkofer Individual |
11108 Parkview Circle Dr |
||
Nicole Heller Individual |
11104 Parkview Circle Dr Ste 20 |
||
DR. M.D., Ahmed Zakria Youssef Elmaadawi Individual |
707 N Michigan St Ste 400 |
||
Kara Yackee Individual |
3909 New Vision Dr |
||
DR. MD Steven W Cohen Individual |
11104 Parkview Circle Dr Ste 310 |
||
MD Julie A Tillman Individual |
11123 Parkview Plaza Dr Suite 101 |
||
DR. M.D. Rebecca E Minser Individual |
1234 E Dupont Rd Ste 3 |
||
Jennifer Vanzant Individual |
2200 Randallia Dr |
||
DR. M.D. Dona M Uncheselu Individual |
11109 Parkview Plaza Dr |
||
MD Amy K Sadler Individual |
1270 E S.r. 205, Suite 240 |
||
MD Kevin K Hart Individual |
11108 Parkview Circle Dr |
||
MD Megan C. Lemon Individual |
11055 Twin Creeks Cv |
||
Kelcie Marie Small Individual |
6437 Rucker Rd Ste D |
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