Provider Demographics
NPI:1538329438
Name:HEINE-CAGGIANO, NANCY MARGARET (MD)
Entity Type:Individual
Prefix:DR
First Name:NANCY
Middle Name:MARGARET
Last Name:HEINE-CAGGIANO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:MARGARET
Other - Last Name:HEINE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:7063 STONINGTON RD
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45230-3841
Mailing Address - Country:US
Mailing Address - Phone:513-232-1685
Mailing Address - Fax:513-232-1685
Practice Address - Street 1:2055 READING RD
Practice Address - Street 2:SUITE 420
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45202-1461
Practice Address - Country:US
Practice Address - Phone:513-861-5437
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-13
Last Update Date:2008-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH68889208000000X
KY35394208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
KY6401639700Medicaid
OH0173520Medicaid