Paul P Heideman
Medical Specialty
Professional ID
- NPI: 1144546870
- PECOS ID: 6002085107
- Enrollment ID: I20160726002065
- Credential(MD, DO, DPM):
- Medical School: University Of Wisconsin Medical School
- Medical School Graduation Year: 2010
Hospital Service
- Hospital CCN1: 520138
- Business Name (LBN)1: Aurora St Lukes Medical Center
- Hospital CCN2: 520059
- Business Name (LBN)2: Aurora Memorial Hospital Burlington
- Hospital CCN3: 520189
- Business Name (LBN)3: Aurora Medical Ctr Kenosha
- Hospital CCN4: 520139
- Business Name (LBN)4: Aurora West Allis Medical Center
- Hospital CCN5: 520198
- Business Name (LBN)5: Aurora Medical Ctr Oshkosh
Medical Practices
- Organization Name: Aurora Advanced Healthcare Inc
- Group Practice ID assigned by PECOS: 3375625833
- Number of Group Practice member: 767
Location
- Address1: 3003 W Good Hope Rd
- Address2:
- City: Milwaukee
- State: Wisconsin
- Zip Code: 53209
- Phone Number: (414)352-3100
Medical Practices
- Organization Name: Aurora Medical Group Inc
- Group Practice ID assigned by PECOS: 6709794258
- Number of Group Practice member: 2169
Location
- Address1: 855 N Westhaven Dr
- Address2:
- City: Oshkosh
- State: Wisconsin
- Zip Code: 54904
- Phone Number: (920)303-8700
Medical Practices
- Organization Name: Lakeshore Medical Clinic Llc
- Group Practice ID assigned by PECOS: 7719890730
- Number of Group Practice member: 246
Location
- Address1: 2000 E Layton Ave
- Address2:
- City: Saint Francis
- State: Wisconsin
- Zip Code: 53235
- Phone Number: (414)744-6589
Medicare
- Medicare Assignment: Yes
- Report Quality of Care to Physician Quality Reporting System (PQRS): Yes
- Used Electronic health record (EHR):