Provider Demographics
NPI:1841291069
Name:LITTMAN, HEIDI JOY (MD)
Entity type:Individual
Prefix:DR
First Name:HEIDI
Middle Name:JOY
Last Name:LITTMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:334 DANBURY LN
Mailing Address - Street 2:
Mailing Address - City:RICHMOND HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:44143-1458
Mailing Address - Country:US
Mailing Address - Phone:216-261-6835
Mailing Address - Fax:440-686-0025
Practice Address - Street 1:24700 LORAIN RD
Practice Address - Street 2:SUITE 201
Practice Address - City:NORTH OLMSTED
Practice Address - State:OH
Practice Address - Zip Code:44070-2088
Practice Address - Country:US
Practice Address - Phone:440-686-0022
Practice Address - Fax:440-686-0025
Is Sole Proprietor?:No
Enumeration Date:2005-08-10
Last Update Date:2008-04-20
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
OH35065746L208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH000000315368OtherANTHEM BCBS
OHF65746OtherSUMMACARE HEALTH PLAN
OH000000315368OtherUNICARE - LIFE & HEALTH
OH0208868Medicaid
OH050581370026OtherCARESOURCE
OH001281003009OtherUNITED HEALTH CARE
OH103162OtherKAISER
OH73111OtherAETNA - LIFE & CASUALTY
OHF65746OtherSUMMACARE HEALTH PLAN
OHG15157Medicare UPIN
OH0208868Medicaid