IndividualActive
George Heenan, MD
NPI 1407892102 · Family Medicine Physician · St Joseph, MI
George Heenan, MD is a Family Medicine Physician provider in St Joseph, MI (NPI 1407892102).
Provider details
- NPI number
- 1407892102
- Entity type
- Individual
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Credential
- MD
- Sex
- Male
- Sole proprietor
- No
- License
- GH040763 (MI)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2500 Niles Road
Suite 1
St Joseph, MI 49085
Phone: (269) 429-5000
Fax: (269) 429-2598
Street-level locationGet directions
Mailing address
2500 Niles Road
St Joseph, MI 49085
Registry dates
- Enumerated
- 2006-06-21
- Last updated
- 2007-07-08
Frequently asked questions
- What is George Heenan's NPI number?
- George Heenan's National Provider Identifier (NPI) is 1407892102, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is George Heenan's specialty?
- George Heenan is listed in the NPPES registry with a primary specialty of Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is George Heenan located?
- George Heenan's practice location on file with NPPES is 2500 Niles Road, St Joseph, MI 49085.
- What is George Heenan's phone number?
- The practice phone number listed in the NPPES registry for George Heenan is (269) 429-5000.
- Is George Heenan's NPI active?
- Yes — George Heenan's NPI (1407892102) is active in the NPPES registry as of the last update on 2007-07-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.