Derrick Heydinger
Family Doctor - Sports Medicine
29000 Center Ridge Rd Uh St. John Medical Center
Westlake
, Ohio 44145-5219
Derrick Heydinger
Family Doctor - Sports Medicine
29000 Center Ridge Rd Uh St. John Medical Center
Westlake
, Ohio 44145-5219
(973) 290-7495
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About
Features
Specialties
- Family Doctor - Sports Medicine
Languages spoken
- English
Location
First Address
- Derrick Heydinger
- Po Box 416457
- Boston, MA
- Zip : 02241-6457
- Fax : (973) 290-7495
- Phone : (844) 362-1735
Second Address
- Derrick Heydinger
- 29000 Center Ridge Rd Uh St. John Medical Center
- Westlake, OH
- Zip : 44145-5219
- Phone : (567) 303-4125
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207QS0010X | Family Doctor - Sports Medicine | 58.007498 | OH |
National Provider Identifier
| NPI | 1275989402 |
|---|---|
| Provider Name | Derrick Heydinger |
| First Address | Boston, MA 02241-6457 |
| Second Address | Westlake, OH 44145-5219 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 06/05/2016 |
| Last Update Date | 06/03/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.