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AMANDA HEIDEMANN MD
NPI 1043329105
Family Medicine in O Fallon, MO

Active since August 30, 2006
2630 HIGHWAY K, O FALLON, MO 63368(636) 980-5300(636) 980-5344 Get Directions Write a Review

NPPES record last updated: February 20, 2012. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Amanda Heidemann Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AMANDA HEIDEMANN MD (NPI 1043329105) is an individual family medicine provider in O Fallon, Missouri, licensed in Missouri (2002002039) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1043329105
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameAMANDA HEIDEMANNCredential: MD
Location Address2630 HIGHWAY KO Fallon, MO 63368-6624
Mailing Address670 Mason Ridge Center Dr, Suite 300Saint Louis, MO 63141-8573 · (636) 980-5300 · Fax (636) 980-5344
Phone(636) 980-5300
Fax(636) 980-5344
Sole ProprietorNo
Enumeration DateAugust 30, 2006
Last NPPES UpdateFebruary 20, 2012
✔ NPI 1043329105 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · 2002002039
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
2630 HIGHWAY K, O Fallon, MO 63368
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Other Identifiers 1

Medicaid1043329105MO

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

JOHN J. O'BRIEN M.D.
Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 240-5454
PHYSICIAN GROUPS LC
Orthopaedic Surgery
2630 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 240-5454
TIMOTHY D MOORE D.O.
Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 240-5454
LIZA STANTON
Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 240-5454
STACEY ELIZABETH HUNT FNP
Nurse Practitioner (Family)
2630 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 240-5454
KATHERINE E CLANCY FNP
Nurse Practitioner
2630 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 980-5300
DR. JYOTI G KULKARNI MD
Family Medicine
2630 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 240-5454
AMANDA CHRISTINE STILWELL FNP, RN
Nurse Practitioner
2630 HIGHWAY K
O FALLON, MO 63368
St. Charles County (636) 240-5454

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Amanda Heidemann's NPI number?

The NPI number for Amanda Heidemann is 1043329105. It was assigned to this individual provider in the NPPES registry on August 30, 2006.

Where is Amanda Heidemann located?

Amanda Heidemann practices at 2630 Highway K, O Fallon, MO 63368. The listed phone number is (636) 980-5300.

What is Amanda Heidemann's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Amanda Heidemann was last updated on February 20, 2012. NPI Profile syncs with the weekly NPPES data releases published by CMS.