Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Gillian Meade Heinecke, MD

Individual provider Dermatology Physician · NPI 1073958021

Dr. Gillian Meade Heinecke, MD is a Dermatology in Saint Louis, Missouri. Qualified in 2013, 13 years ago. Practices with SSM Health Care Group, a 923-clinician group and accepts Medicare assignment. Licensed in California and Missouri.

Years since qualifying
13
Licensed in
CA, MO
In the registry since
2013
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

1755 S Grand Blvd
Saint Louis, MO 63104-1540
Phone: (314) 256-3430
Fax: (314) 256-3431
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dermatology Physician (primary) Taxonomy 207N00000X · Licence 2020016507 (MO)
Dermatology Physician Taxonomy 207N00000X · Licence A132579 (CA)

Record details

NPI number1073958021
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMay 3, 2013
Last updated in NPPESJanuary 12, 2021
Certification dateJanuary 12, 2021

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDERMATOLOGY
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Ssm Health Care Group — 923 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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