Bonni Nicole Heithold, M.D.
Pediatrics in Columbia, MO. Individual provider (NPI-1).
NPI number1265720106
StatusActive
Last updated in NPPESJul 13, 2011
Details
- NPI
- 1265720106
- Entity type
- Individual (NPI-1)
- Name
- Bonni Nicole Heithold
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Jul 13, 2011
- Last updated
- Jul 13, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PEDIATRIC MEDICINE
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice Yes
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 208000000X | Pediatrics | 2011017906 | MO | Yes |
Practice location
1 Hospital DriveColumbia, MO 65212
Phone 573-882-4438 · Fax 573-884-9992
Mailing address
1 Hospital DriveColumbia, MO 65212
Phone 573-882-4438 · Fax 573-884-9992
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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