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1700878162

NPI Code Detail

MEDICARE: CHRISTOPHER A HEEB MD

MEDICARE: CHRISTOPHER A HEEB 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	207R00000X	Internal Medicine Physician	29619	KY
2	174400000X	Specialist	29619	KY

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
9	P00935629	OTHER	KY	RAIL ROAD MEDICARE
11	P00935629	OTHER	KY	RAILROAD MEDICARE

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	000000044597	OTHER		ANTHEM
3	021036000	OTHER		FEDERAL BLACK LUNG
4	0420748	OTHER		UNITED HEALTHCARE
5	50006697	OTHER		PASSPORT
6	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
7	637135	OTHER		AETNA
8	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
10	310674100	OTHER		US DEPT OF LABOR

General Provider Information

NPI Number	:	1700878162
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHRISTOPHER A HEEB MD

Provider Business Mailing Address
First Line	:	PO BOX 635283
Second Line	:
City	:	CINCINNATI
State	:	OH
Zip	:	45263-5283
Country	:	US
Telephone Number	:	859-341-0288
Fax Number	:	859-341-7482

Provider Business Practice Location Address
First Line	:	2900 CHANCELLOR DR
Second Line	:
City	:	CRESTVIEW HILLS
State	:	KY
Zip	:	41017-5427
Country	:	US
Telephone Number	:	859-341-0288
Fax Number	:	859-341-7482

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

Provider Enumeration Date	:	08/22/2005
Last Update Date	:	09/10/2018

Similar Medicare Providers

1871598664 — DR. JOHN JAMES LARKIN MD
Practice Location Address:

2900 CHANCELLOR DR
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 513-354-3700
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1811989288 — TERRY A MCDANNOLD MD
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1518959865 — THOMAS O'CONNELL MD
Practice Location Address:

2900 CHANCELLOR DR
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 859-341-0288
Practice Fax: 859-344-7482

1982664264 — MARK STEPHEN MEIER MD
Practice Location Address:

2900 CHANCELLOR DR
CRESTVIEW HILLS, KY
41017-5427

Practice Phone: 859-341-0288
Practice Fax: 859-341-7482

1881642734 — DR. ANGELO J COLOSIMO M.D.
Practice Location Address:

2900 CHANCELLOR DR STE 102
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Practice Fax:

1770531444 — THERESA R KOESTER MD
Practice Location Address:

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Directions to “ CHRISTOPHER A HEEB MD” Practice Location

Language	Start Address	Practice Location

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