Provider Demographics
NPI:1588695936
Name:OGDEN-HAMILTON, HEATHER DENISE (MD)
Entity type:Individual
Prefix:
First Name:HEATHER
Middle Name:DENISE
Last Name:OGDEN-HAMILTON
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:HEATHER
Other - Middle Name:DENISE
Other - Last Name:HAMILTON
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 7227
Mailing Address - Street 2:
Mailing Address - City:CAVE CREEK
Mailing Address - State:AZ
Mailing Address - Zip Code:85327-7227
Mailing Address - Country:US
Mailing Address - Phone:602-870-6316
Mailing Address - Fax:602-870-6091
Practice Address - Street 1:19829 N 27TH AVE
Practice Address - Street 2:JOHN C. LINCOLN HOSPITAL - DEER VALLEY
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85027-4001
Practice Address - Country:US
Practice Address - Phone:623-879-5353
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-07-05
Last Update Date:2014-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ28520207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ62824Medicare ID - Type Unspecified
AZG98096Medicare UPIN