Provider Demographics
NPI:1578537890
Name:HEISS, STEVEN G (MD)
Entity Type:Individual
Prefix:
First Name:STEVEN
Middle Name:G
Last Name:HEISS
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 E GEDDES AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:ENGLEWOOD
Mailing Address - State:CO
Mailing Address - Zip Code:80112-3895
Mailing Address - Country:US
Mailing Address - Phone:303-761-9190
Mailing Address - Fax:720-874-4462
Practice Address - Street 1:501 E HAMPDEN AVE
Practice Address - Street 2:
Practice Address - City:ENGLEWOOD
Practice Address - State:CO
Practice Address - Zip Code:80113-2702
Practice Address - Country:US
Practice Address - Phone:303-761-9190
Practice Address - Fax:720-874-4462
Is Sole Proprietor?:No
Enumeration Date:2006-02-14
Last Update Date:2022-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NE251352085R0202X
KS04-364302085R0202X
HI175482085R0202X
CO378832085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI104715968Medicaid
NE84-059792913Medicaid
WI99112262Medicaid
NM85228281Medicaid
MT1578537890Medicaid
WY1578537890Medicaid
OK200503480 AMedicaid
CO300103952OtherRAILROAD MEDICARE RIA
NE10025709000Medicaid
IA1578537890Medicaid
AL1578537890Medicaid
CA1578537890Medicaid
IL1578537890Medicaid
CO300114292OtherRAILROAD MEDICARE MIC
KS200428100AMedicaid
UT1679513196Medicaid
CO19005725Medicaid
AZ927220Medicaid
IA1578537890Medicaid
KS111257008Medicare PIN
KSKA3249024Medicare PIN
WY1578537890Medicaid
AL1578537890Medicaid
COC22604Medicare PIN
NENA1215035Medicare PIN
NENA1214035Medicare PIN
UT1679513196Medicaid
AZ927220Medicaid
NM85228281Medicaid
NEP00796302Medicare PIN