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DR. GEORGE L HEENAN MD
NPI 1407892102
Family Medicine in St Joseph, MI

Active since June 21, 2006
2500 NILES ROAD, SUITE 1, ST JOSEPH, MI 49085(269) 429-5000(269) 429-2598 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. George L Heenan Md NPPES

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

DR. GEORGE L HEENAN MD (NPI 1407892102) is an individual family medicine provider in St Joseph, Michigan, licensed in Michigan (GH040763) and active in the NPI registry since June 2006.

NPPES Registry Identity

NPI1407892102
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameDR. GEORGE L HEENANCredential: MD
Location Address2500 NILES ROAD, SUITE 1St Joseph, MI 49085
Mailing Address2500 Niles Road, Suite 1St Joseph, MI 49085 · (269) 429-5000 · Fax (269) 429-2598
Phone(269) 429-5000
Fax(269) 429-2598
Sole ProprietorNo
Enumeration DateJune 21, 2006
Last NPPES UpdateJuly 8, 2007
✔ NPI 1407892102 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MI · GH040763
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.
2500 NILES ROAD, St Joseph, MI 49085
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Other Identifiers 2

Medicare UPINA73867
Medicare ID-Type UnspecifiedN75800004

Other Providers at the Same Location NPPES 5

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

LEANNE M MANCINI DO
Family Medicine
2500 NILES ROAD, SUITE 1
ST JOSEPH, MI 49085
Berrien County (269) 429-5000
DR. SERGE P SCHILLIO MD
Family Medicine
2500 NILES ROAD, SUITE 1
ST JOSEPH, MI 49085
Berrien County (269) 429-5000
DR. MICHAEL E EGGEBRECHT DO
Family Medicine
2500 NILES ROAD, SUITE 1
ST JOSEPH, MI 49085
Berrien County (269) 429-5000
EURISKO VOCATIONAL SERVICES, LLC
Counselor (Professional)
2500 NILES ROAD, SUITE # 7
ST. JOSEPH, MI 49085
Berrien County (269) 281-0407
DR. MATTHEW L DAVIS MD
Psychiatry & Neurology (Psychiatry)
2500 NILES ROAD, SUITE #7
ST. JOSEPH, MI 49085
Berrien County (269) 982-7844

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 George Heenan's NPI number?

The NPI number for George Heenan is 1407892102. It was assigned to this individual provider in the NPPES registry on June 21, 2006.

Where is George Heenan located?

George Heenan practices at 2500 Niles Road Suite 1, St Joseph, MI 49085. The listed phone number is (269) 429-5000.

What is George Heenan'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 George Heenan was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.