Individual
DR. ROBERT SAMUEL HEIDT JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 232-6677
(513) 232-2522
Mailing address
7575 5 MILE RD, CINCINNATI, OH 45230-4346
(513) 232-6677
(513) 232-2522
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
35041019
OH
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
35.041019
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000004446
ANTHEM
OH
05
—
0481796
—
OH
01
—
0920337
UNITED HEALTHCARE
OH
01
—
1903783001
CIGNA
OH
01
—
200011150
MEDICARE RAILROAD
OH
Enumeration date
07/20/2005
Last updated
09/16/2013
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