MEDICARE: ARCHIE A HEDDINGS 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	48464	MN
2	207XX0801X	Orthopaedic Trauma Physician	48464	MN
3	207X00000X	Orthopaedic Surgery Physician	04-32256	KS
4	207XX0801X	Orthopaedic Trauma Physician	04-32256	KS

General Provider Information

NPI Number	:	1831133594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ARCHIE A HEDDINGS MD

Provider Business Mailing Address
First Line	:	3901 RAINBOW BLVD
Second Line	:	MS #3017 UNIVERSITY OF KANSAS MEDICAL CENTER
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-0000
Country	:	US
Telephone Number	:	913-588-6100
Fax Number	:	913-588-8186

Provider Business Practice Location Address
First Line	:	3901 RAINBOW BLVD.
Second Line	:	DEPARTMENT OF ORTHOPEDIC SURGERY
City	:	KANSAS CITY
State	:	KS
Zip	:	66160-0000
Country	:	US
Telephone Number	:	913-588-6100
Fax Number	:	913-588-8186

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

Provider Enumeration Date	:	06/15/2006
Last Update Date	:	02/18/2010

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Directions to “ ARCHIE A HEDDINGS MD” Practice Location

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