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NPI Code Detail

MEDICARE: DR. TIMOTHY J HEYD M.D.

MEDICARE:  DR. TIMOTHY J HEYD  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
1207Q00000XFamily Medicine Physician34063863HOH

Medicare Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
7080188836OTHEROHRAILROAD MEDICARE

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2000000374073OTHEROHUNICARE
3000000374073OTHEROHANTHEM
4421534506091OTHEROHCARESOURCE
54262626OTHEROHAETNA
6D6386303OTHERNDHUMANA/CHOICECARE
8203006OTHEROHNATIONWIDE HEALTH PLAN

General Provider Information

NPI Number : 1922001437
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. TIMOTHY J HEYD M.D.
Provider Business Mailing Address
First Line : 9549 MONTGOMERY RD 100
Second Line :
City : CINCINNATI
State : OH
Zip : 45242-7238
Country : US
Telephone Number : 513-489-3737
Fax Number : 513-984-3796
Provider Business Practice Location Address
First Line : 416 S EAST ST
Second Line :
City : LEBANON
State : OH
Zip : 45036-2378
Country : US
Telephone Number : 513-695-1228
Fax Number : 513-695-2941
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/30/2005
Last Update Date : 11/19/2015

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