Provider Demographics
NPI:1265547137
Name:ESSIG, HEIDI A (PA-C)
Entity type:Individual
Prefix:
First Name:HEIDI
Middle Name:A
Last Name:ESSIG
Suffix:
Gender:F
Credentials:PA-C
Other - Prefix:
Other - First Name:HEIDI
Other - Middle Name:A
Other - Last Name:NEUGENT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PA-C
Mailing Address - Street 1:2100 16TH AVE S
Mailing Address - Street 2:SUITE 202
Mailing Address - City:BIRMINGHAM
Mailing Address - State:AL
Mailing Address - Zip Code:35205-5021
Mailing Address - Country:US
Mailing Address - Phone:205-933-0987
Mailing Address - Fax:205-930-1758
Practice Address - Street 1:2100 16TH AVE S
Practice Address - Street 2:SUITE 202
Practice Address - City:BIRMINGHAM
Practice Address - State:AL
Practice Address - Zip Code:35205
Practice Address - Country:US
Practice Address - Phone:205-933-0987
Practice Address - Fax:205-930-1758
Is Sole Proprietor?:No
Enumeration Date:2006-08-20
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ALPA-233363AM0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363AM0700XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician AssistantMedical
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL510-00237OtherBCBS OF AL
AL510-00237OtherBCBS OF AL