Individual provider Active NPI

Heba El Goweni, M.D.

  • Pediatric Adolescent Medicine Physician
  • Navarre, FL
National Provider Identifier
1003842121
Registry record updated May 13, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Adolescent Medicine PhysicianTaxonomy code 2080A0000X
License
ME85791 Issued in FL
Practice address
8880 Navarre Pkwy
Suite 102
Navarre, FL 32566-3612
Phone
(850) 939-5550
Fax
(850) 939-5445
NPI assigned
Jun 23, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Adolescent Medicine Physician 2080A0000X ME85791 FL Primary

Addresses

Primary practice location

8880 Navarre Pkwy
Suite 102
Navarre, FL 32566-3612

Mailing address

8880 Navarre Pkwy
Suite 102
Navarre, FL 32566-3612
Phone (850) 939-5550

Other identifiers 3

IdentifierTypeStateIssuer
29224OtherFLBLUE CROSS BLUE SHIELD OF FLORIDA
591-68677OtherALBLUE CROSS BLUE SHIELD OF ALABAMA
266616200MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME85791FLMDPediatric Adolescent Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Navarre Pediatrics PL Adolescent Medicine PastSince Aug 22, 2006 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: elgoweni.heba.003.0090270@nped.meditab.direct-ci.com

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210636800000",
    "number": "1003842121",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8880 NAVARRE PKWY",
            "address_2": "SUITE 102",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663612",
            "telephone_number": "850-939-5550",
            "fax_number": "850-939-5445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8880 NAVARRE PKWY",
            "address_2": "SUITE 102",
            "city": "NAVARRE",
            "state": "FL",
            "postal_code": "325663612",
            "telephone_number": "850-939-5550",
            "fax_number": "850-939-5445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EL GOWENI",
        "first_name": "HEBA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-23",
        "last_updated": "2008-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080A0000X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Adolescent Medicine",
            "state": "FL",
            "license": "ME85791",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF FLORIDA",
            "identifier": "29224",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ALABAMA",
            "identifier": "591-68677",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "266616200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Navarre, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; 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.