Provider Demographics
NPI:1114956018
Name:HEILMAN, CATHERINE BOOTH (MD)
Entity Type:Individual
Prefix:DR
First Name:CATHERINE
Middle Name:BOOTH
Last Name:HEILMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:MARIE
Other - Last Name:BOOTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3421 CONCORD RD
Mailing Address - Street 2:
Mailing Address - City:YORK
Mailing Address - State:PA
Mailing Address - Zip Code:17402-9001
Mailing Address - Country:US
Mailing Address - Phone:717-812-4900
Mailing Address - Fax:717-259-7262
Practice Address - Street 1:105 4TH ST
Practice Address - Street 2:
Practice Address - City:EAST BERLIN
Practice Address - State:PA
Practice Address - Zip Code:17316-9638
Practice Address - Country:US
Practice Address - Phone:717-812-4900
Practice Address - Fax:717-255-0951
Is Sole Proprietor?:No
Enumeration Date:2006-07-02
Last Update Date:2021-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD054335L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001737729Medicaid
PAP002799OtherGATEWAY-WMG
PA1143591OtherAMERIHEALTH MERCY-WMG
PA252754OtherUNISON-WMG CFA
PA412838OtherHIGHMARK BLUE SHIELD
MD542309OtherCAREFIRST MD BCBS
PA30152923OtherAMERIHEALTH CARITAS PA - WMG - THFPC
PA50081477OtherCAPITAL BLUE CROSS-WMG CFA
PA267513OtherMAMSI-WMG
PA95950OtherUNISON-WMG
PA029745OtherJOHNS HOPKINS
PA1060501OtherCAPITAL BLUE CROSS-WMG
PA55945OtherGEISINGER
PA5820236OtherAETNA
PA001737729Medicaid
PA1143591OtherAMERIHEALTH MERCY-WMG
PA5820236OtherAETNA