Individual
THOMAS D. HEIDEWALD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
Mailing address
1500 SW 10TH AVE, TOPEKA, KS 66604-1301
(785) 354-6000
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
04-25594
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
068002019
MEDICARE PTAN
KS
05
—
100175280C
—
KS
05
—
100175280F
—
KS
01
—
100977
BLUE CROSS BLUE SHIELD
KS
01
—
660011
FIRST GUARD
KS
01
—
930112902
RAILROAD MEDICARE
KS
Enumeration date
04/26/2006
Last updated
02/12/2026
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