MEDICARE: DR. HEIDI ANNE HEAP-CHESTER MD

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	208D00000X	General Practice Physician	MD20831	ME
2	207Q00000X	Family Medicine Physician	MD20831	ME
3	207Q00000X	Family Medicine Physician	30451	MN

General Provider Information

NPI Number	:	1306952197
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. HEIDI ANNE HEAP-CHESTER MD

Provider Business Mailing Address
First Line	:	15 SKY VIEW DR
Second Line	:
City	:	CUMBERLAND FORESIDE
State	:	ME
Zip	:	04110-1472
Country	:	US
Telephone Number	:	207-699-3830
Fax Number	:	207-699-3831

Provider Business Practice Location Address
First Line	:	15 SKY VIEW DR
Second Line	:
City	:	CUMBERLAND FORESIDE
State	:	ME
Zip	:	04110-1472
Country	:	US
Telephone Number	:	207-699-3830
Fax Number	:	207-699-3831

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

Provider Enumeration Date	:	08/22/2006
Last Update Date	:	08/12/2025

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