MEDICARE: DR. DAVID E HEAPE M.D.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207P00000X	Emergency Medicine Physician	32170	SC

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	27499	OTHER	FL	BCBSF GRP# 98513
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
4	606478700	OTHER	FL	DOL GRP#
5	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
6	32170	OTHER	SC	SOUTH CAROLINA MEDICAL LICENSE

General Provider Information

NPI Number	:	1265439954
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. DAVID E HEAPE M.D.

Provider Business Mailing Address
First Line	:	PO BOX 11407
Second Line	:
City	:	BIRMINGHAM
State	:	AL
Zip	:	35246-0100
Country	:	US
Telephone Number	:	888-313-5258
Fax Number	:	205-313-5298

Provider Business Practice Location Address
First Line	:	298 MEMORAL DRIVE
Second Line	:	OCONEE MEMORIAL HOSPITAL
City	:	SENECA
State	:	SC
Zip	:	29672
Country	:	US
Telephone Number	:	888-313-5258
Fax Number	:	205-313-5298

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/07/2005
Last Update Date	:	05/25/2021

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Directions to “ DR. DAVID E HEAPE M.D.” Practice Location

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