MEDICARE: MICHAEL R HEILIG 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	207X00000X	Orthopaedic Surgery Physician	37035	KY

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

General Provider Information

NPI Number	:	1811958291
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MICHAEL R HEILIG MD

Provider Business Mailing Address
First Line	:	318 HIGHLAND PARK DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3487
Country	:	US
Telephone Number	:	859-353-4180
Fax Number	:	859-878-1616

Provider Business Practice Location Address
First Line	:	318 HIGHLAND PARK DR
Second Line	:
City	:	RICHMOND
State	:	KY
Zip	:	40475-3487
Country	:	US
Telephone Number	:	859-353-4180
Fax Number	:

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

Provider Enumeration Date	:	03/28/2006
Last Update Date	:	07/03/2023

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