Healthcare Provider Details

I. General information

NPI: 1396835708
Provider Name (Legal Business Name): STEPHEN D. HEIS, MD & ASSOCIATES, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2006
Last Update Date: 02/21/2020
Certification Date: 02/21/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8000 FIVE MILE ROAD SUITE 340
CINCINNATI OH
45230
US

IV. Provider business mailing address

8000 FIVE MILE ROAD SUITE 340
CINCINNATI OH
45230
US

V. Phone/Fax

Practice location:
  • Phone: 513-232-8800
  • Fax: 513-232-8802
Mailing address:
  • Phone: 513-232-8800
  • Fax: 513-232-8802

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number
License Number StateOH
# 2
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: DR. STEPHEN D HEIS
Title or Position: PRESIDENT
Credential: MD
Phone: 513-232-8800