Donald H. Dehaven MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

ME035779 Issued in FL

Legal business name

DONALD H. DEHAVEN MD

Practice address

8057 Spyglass Hill Rd
Unit 104
Melbourne, FL 32940-8565

Phone

(321) 622-8943

Fax

(321) 622-8945

NPI assigned

Apr 29, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Donald H Dehaven, MDNPI 1508847229

Title

Sole Proprietor

Phone

(321) 622-8943

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Donald Harry Dehaven, MD.

  • Family Medicine Physician
  • Melbourne, FL
  • NPI 1508847229

  Family Medicine

  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1240963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1240963200000",
    "number": "1003050352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8057 SPYGLASS HILL RD",
            "address_2": "UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408565",
            "telephone_number": "321-622-8943",
            "fax_number": "321-622-8945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8057 SPYGLASS HILL RD",
            "address_2": "UNIT 104",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329408565",
            "telephone_number": "321-622-8943",
            "fax_number": "321-622-8945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD H. DEHAVEN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-29",
        "last_updated": "2009-04-29",
        "status": "A",
        "authorized_official_last_name": "DEHAVEN",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "SOLE PROPRIETOR",
        "authorized_official_telephone_number": "321-622-8943",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME035779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David E. Dominguez, M.D.
• Felipe Emilio Dominguez
• Patrick W Domkowski, MD
• Xuan Don, APRN, FNP
• Melissa Donaghy
• Laurie Marie Donaldson, PH.D.
• Michael Alan Donato
• Kristen Colleen Donesec, PA-C
• Donna J. Badolato, MD, PA
• Kaitlin Shiver Donner

• All providers in Melbourne, FL
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.