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

Individual provider Physician Assistant · NPI 1073023248

Mitchell Robert Heide, PA is a Physician Assistant in Chandler, Arizona. Qualified in 2017, 9 years ago. Practices with Southwest Urologic Specialists, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Arizona.

Years since qualifying
9
Licensed in
AZ
In the registry since
2017
What do these letters mean?
PA — Physician Assistant
A licensed clinician who examines, diagnoses and treats under a physician's supervision.

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Practice location Address checks out

1455 W Chandler Blvd
Chandler, AZ 85224-6177
Phone: (480) 917-9208
Fax: (480) 814-7443
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 6883 (AZ)

Record details

NPI number1073023248
Entity typeIndividual (Type 1)
GenderMale
Credentials PA
Sole proprietorNo
NPI enumeratedOctober 2, 2017
Last updated in NPPESOctober 2, 2017

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Southwest Urologic Specialists, Pc — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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