PETOSKEY GYNECOLOGY & INFERTILITY – NPI #1396993895
Obstetrics & Gynecology

A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions.

Health Care Provider Taxonomy Code for Obstetrics & Gynecology

PETOSKEY GYNECOLOGY & INFERTILITY is a provider located in PETOSKEY, MI. NPPES has assigned the NPI number 1396993895 to PETOSKEY GYNECOLOGY & INFERTILITY on September 09, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “PETOSKEY GYNECOLOGY & INFERTILITY” is a dba name, the actual legal business name for this organization is CLARE B. HEIDTKE, MD, PLLC. The primary taxonomy selected by this provider is 207VG0400X from the Health Care Provider Taxonomy code set, which is classified as Obstetrics & Gynecology, specializing in Gynecology

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PETOSKEY GYNECOLOGY & INFERTILITY below.

NPI Profile for
CLARE B. HEIDTKE, MD, PLLC

NPI Number
1396993895
Enumeration Date

(about 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
CLARE B. HEIDTKE, MD, PLLC
Doing Business As (dba): PETOSKEY GYNECOLOGY & INFERTILITY
Primary location
2810 CHARLEVOIX AVE
SUITE 104
PETOSKEY, MI 49770-8421
Phone: (231) 487-0970 Fax: (231) 487-0979
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CLARE HEIDTKE
OWNER
Phone: (231) 487-0970
Updated
Identifiers

Identifiers for PETOSKEY GYNECOLOGY & INFERTILITY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDMI3509689
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207VG0400X
- Obstetrics & Gynecology / Gynecology (Primary)		 MI CH045760

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.