Healthcare Provider Details
I. General information
NPI: 1548252927
Provider Name (Legal Business Name): LOUIS WILLIAM HEYL MD
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/22/2005
Last Update Date: 02/02/2023
Certification Date: 02/02/2023
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1020 CENTER AVE
PITTSBURGH PA
15229-1724
US
IV. Provider business mailing address
8150 PERRY HWY STE 201
PITTSBURGH PA
15237-5200
US
V. Phone/Fax
- Phone: 412-931-3066
- Fax: 412-939-9965
- Phone: 412-369-9550
- Fax: 412-369-9566
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 207Q00000X |
| Taxonomy | Family Medicine Physician |
| License Number | MD025327E |
| License Number State | PA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: