Paul P. Heideman M.D.
Vascular & Interventional Radiology Physician in Burlington, WI(View on Map)
Full Name
Paul P Heideman M.D.
NPI Number
1144546870
NPI Type
Individual Provider
Gender
Male
Enumeration Date
04/20/2010
Specialties
(Taxonomies)Code
2085R0204X
2085R0202X
Primary Taxonomy
Yes
No
Licenses
State
Wisconsin
License Number
63817
Contact
Information
Purpose
Mailing
Location
Address
PO BOX 735044
252 MCHENRY ST
City
Chicago
Burlington
State
IL
WI
Postal Code
60673-5044
53105
Country
US
US
Telephone Number
N/A
(262) 767-6100
Identifiers
Identifier
ENROLLED
ENROLLED
ENROLLED
Identifier State
WI
IA
MN
Identifier Issuer
Unknown
Unknown
Unknown
Health Information Exchange
Endpoint Type
FHIR
DIRECT
Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
pheideman178325@direct.myadvocateaurora.org
Endpoint Description
Unknown
Unknown
Use
Unknown
Direct
Content Type
Unknown
Unknown
Affiliation
N
N
Endpoint Location
252 McHenry StBurlington, WI53105US
252 McHenry StBurlington, WI53105US
Provider data last refreshed from NPPES NPI registry on 11/19/2024
Data last updated by provider on 08/10/2023