Provider Demographics
NPI:1134112089
Name:DE BUYS, PAIGE ANN HEIMANN (MD)
Entity type:Individual
Prefix:
First Name:PAIGE
Middle Name:ANN HEIMANN
Last Name:DE BUYS
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10506A MONTGOMERY RD
Mailing Address - Street 2:SUITE 203
Mailing Address - City:MONTGOMERY
Mailing Address - State:OH
Mailing Address - Zip Code:45242-4400
Mailing Address - Country:US
Mailing Address - Phone:513-246-7016
Mailing Address - Fax:513-852-3283
Practice Address - Street 1:10506A MONTGOMERY RD
Practice Address - Street 2:SUITE 203
Practice Address - City:MONTGOMERY
Practice Address - State:OH
Practice Address - Zip Code:45242-4400
Practice Address - Country:US
Practice Address - Phone:513-246-7016
Practice Address - Fax:513-852-3283
Is Sole Proprietor?:No
Enumeration Date:2005-08-25
Last Update Date:2024-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH35082927207RR0500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RR0500XAllopathic & Osteopathic PhysiciansInternal MedicineRheumatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OHH068840OtherMEDICARE
OH665202OtherBUCKEYE - MEDICARE
OHP01125371OtherRAIDROAD MEDICARE
OH737697OtherANTHEM
OH2560956OtherMEDICAID
OH7141681OtherAETNA
OH744864OtherBUCKEYE - MEDICAID
OH3200446OtherUNITED HEALTH CARE
OH5066678OtherCIGNA
OH2560956Medicaid