Physician Compare National (NPI:1922298223)

HEALTHCARE PROVIDER: MARK ANDREW HEITNER MD

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1922298223
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	1153387634
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20041207000160
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HEITNER
	Individual professional last name
Provider First Name	MARK
	Individual professional first name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	MD
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	JS WEILL MEDICAL COLLEGE, CORNELL UNIVERSITY
	Individual professional's medical school
Graduation Year	1980
	Individual professional's medical school graduation year
Primary Specialty	PSYCHIATRY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Line 1 Street Address	1838 EL CAMINO REAL
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 101
	Group Practice or individual's line 2 address
City	BURLINGAME
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	940103126
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	M