Individual
DR. STEVEN J. HEANEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
201 ARCH STREET, FIRST FLOOR, MEADVILLE, PA 16335
(814) 724-3201
(814) 724-3204
Mailing address
201 ARCH STREET, FIRST FLOOR, MEADVILLE, PA 16335
(814) 724-3201
(814) 724-3204
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
MD031283E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010873570002
—
PA
01
—
208830
UPMC PROVIDER NUMBER
PA
01
—
251595420002
TRICARE PROVIDER NUMBER
PA
01
—
707142
BLUE SHIELD PROVIDER NUMB
PA
01
—
P-66290045
MULTIPLAN PROVIDER NUMBER
PA
Enumeration date
05/10/2006
Last updated
07/21/2022
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