Provider Demographics
NPI:1952334765
Name:OGDEN, HEIDI (MD)
Entity Type:Individual
Prefix:
First Name:HEIDI
Middle Name:
Last Name:OGDEN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:
Other - Last Name:STEINSHOUER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:8231 E GREENBRIAR CT
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67226-1808
Mailing Address - Country:US
Mailing Address - Phone:316-617-5957
Mailing Address - Fax:866-620-9870
Practice Address - Street 1:4500 W MAPLE ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-2567
Practice Address - Country:US
Practice Address - Phone:316-652-2590
Practice Address - Fax:866-620-9870
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-08
Last Update Date:2019-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS4-281402084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
KS105332Medicaid
KSKA1243002Medicare PIN