Provider Demographics
NPI:1316911951
Name:HEIL, KURT M (MD)
Entity type:Individual
Prefix:DR
First Name:KURT
Middle Name:M
Last Name:HEIL
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5700 CORPORATE DR
Mailing Address - Street 2:SUITE 700, BLDG 3
Mailing Address - City:PITTSBURGH
Mailing Address - State:PA
Mailing Address - Zip Code:15237-5861
Mailing Address - Country:US
Mailing Address - Phone:412-630-2670
Mailing Address - Fax:412-630-2695
Practice Address - Street 1:5700 CORPORATE DR
Practice Address - Street 2:SUITE 700, BLDG 3
Practice Address - City:PITTSBURGH
Practice Address - State:PA
Practice Address - Zip Code:15237-5861
Practice Address - Country:US
Practice Address - Phone:412-630-2670
Practice Address - Fax:412-630-2695
Is Sole Proprietor?:No
Enumeration Date:2006-02-13
Last Update Date:2008-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAMD065122L207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001695342003Medicaid
PA08127325OtherRAILROAD MEDICARE
PA08127325OtherRAILROAD MEDICARE
PA623776Medicare ID - Type Unspecified