Provider Demographics
NPI:1437285020
Name:SCHEIDLER, HEIDI E (PA)
Entity Type:Individual
Prefix:MRS
First Name:HEIDI
Middle Name:E
Last Name:SCHEIDLER
Suffix:
Gender:F
Credentials:PA
Other - Prefix:MISS
Other - First Name:HEIDI
Other - Middle Name:E
Other - Last Name:KIER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA
Mailing Address - Street 1:301 SOUTH BYP
Mailing Address - Street 2:
Mailing Address - City:KENNETT
Mailing Address - State:MO
Mailing Address - Zip Code:63857-3252
Mailing Address - Country:US
Mailing Address - Phone:573-888-0900
Mailing Address - Fax:573-888-9588
Practice Address - Street 1:301 SOUTH BYP
Practice Address - Street 2:
Practice Address - City:KENNETT
Practice Address - State:MO
Practice Address - Zip Code:63857-3252
Practice Address - Country:US
Practice Address - Phone:573-888-0900
Practice Address - Fax:573-888-9588
Is Sole Proprietor?:No
Enumeration Date:2007-02-26
Last Update Date:2011-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2007004100363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical