Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Elise Heidorn, MD

Individual provider Surgery Physician · NPI 1700403888

Elise Heidorn, MD is a Surgery Physician in West Reading, Pennsylvania. Licensed in Pennsylvania. Registered with an NPI since 2020.

Licensed in
PA
In the registry since
2020
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

420 S 5th Ave
West Reading, PA 19611-2143
Phone: (484) 628-4908
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Surgery Physician (primary) Taxonomy 208600000X · Licence MT219787 (PA)

Record details

NPI number1700403888
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 6, 2020
Last updated in NPPESJuly 6, 2020
Certification dateJuly 6, 2020

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