BEVERLY ANN HEINKING D.O. NPI 1073593737

NPI Information

NPI: 1073593737
Provider Name: BEVERLY ANN HEINKING, D.O.
Classification: Family Medicine - 207Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
300 PINEWOOD DR SW
LIVE OAK, FL
ZIP 32064
Phone: (386) 362-1014
Get Directions

Beverly Ann Heinking, D.O. is a family medicine in Live Oak, FL. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. Beverly Ann Heinking, D.O. NPI is 1073593737. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

300 PINEWOOD DR SW
LIVE OAK, FL
ZIP 32064-029
Phone: (386) 362-1014
Fax: (386) 362-5076

The NPI 1073593737 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 1/19/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207Q00000X	Family Medicine		R9F01	MISSOURI	No
2	207Q00000X	Family Medicine		OS5866	FLORIDA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	80431	OTHER	FLORIDA	B/C
2	C50523	MEDICARE UPIN	FLORIDA
3	80431D	MEDICARE ID-TYPE UNSPECIFIED	FLORIDA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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