Healthcare Provider Details

I. General information

NPI: 1659328425
Provider Name (Legal Business Name): DOUGLAS M HEUMAN M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1201 BROAD ROCK BLVD GI SECTION (111-N) MCGUIRE DVAMC
RICHMOND VA
23249-0001
US

IV. Provider business mailing address

4009 POPLAR GROVE RD
MIDLOTHIAN VA
23112-4736
US

V. Phone/Fax

Practice location:
  • Phone: 804-675-5802
  • Fax: 804-675-5816
Mailing address:
  • Phone: 804-744-5353
  • Fax: 804-675-5816

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207RG0100X
TaxonomyGastroenterology Physician
License Number0101030507
License Number StateVA
# 2
Primary TaxonomyY
Taxonomy Code207RI0008X
TaxonomyHepatology Physician
License Number0101030507
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: