Organization
DOUGLAS O'HEIR, D.P.M.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DOUGLAS A. O'HEIR D.P.M. (OWNER)
(207) 872-2262
Entity
Organization
Contact information
Practice address
143 SILVER ST, WATERVILLE, ME 04901-5833
(207) 872-2262
(207) 872-8411
Mailing address
143 SILVER ST, WATERVILLE, ME 04901-5833
(207) 872-2262
(207) 872-8411
Taxonomy
Speciality
Code
Description
License number
State
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
POD175
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
002205
ANTHEM
ME
05
—
114490099
—
ME
01
—
1891854931
MEDICARE GROUP NPI
ME
01
—
480002906
RAIL ROAD MEDICARE
ME
01
—
5528251
AETNA
ME
01
—
M53560
CIGNA
ME
01
—
MM6649
MEDICARE GROUP PTAN
—
Enumeration date
12/06/2006
Last updated
08/22/2011
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