Active NPI
Christopher Vonderheide, MD
- Anesthesiology Physician
- Cocoa Beach, FL
National Provider Identifier
1013957075
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- ME66725
- Practice address
- 701 W Cocoa Beach Cswy
Cape Canaveral Hospital
Cocoa Beach, FL 32931-3585 - Phone
- (321) 868-7677
- Fax
- (321) 868-7291
- NPI assigned
- Jun 7, 2006
- Last updated
- Jun 28, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | ME66725 | FL | Primary |
Addresses
Primary practice location
701 W Cocoa Beach Cswy
Cape Canaveral Hospital
Cocoa Beach, FL 32931-3585
Mailing address
PO Box 561600
Rockledge, FL 32956-1600
Phone (321) 434-4600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 376513000 | Medicaid | FL |
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
| License | State | Type | Specialty |
|---|---|---|---|
| ME66725 | FL | MD | Anesthesiology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340841600000",
"number": "1013957075",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 561600",
"city": "ROCKLEDGE",
"state": "FL",
"postal_code": "329561600",
"telephone_number": "321-434-4600",
"fax_number": "321-259-0635"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 W COCOA BEACH CSWY",
"address_2": "CAPE CANAVERAL HOSPITAL",
"city": "COCOA BEACH",
"state": "FL",
"postal_code": "329313585",
"telephone_number": "321-868-7677",
"fax_number": "321-868-7291"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONDERHEIDE",
"first_name": "CHRISTOPHER",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2012-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "FL",
"license": "ME66725",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "376513000",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cocoa Beach, FL
- Urgent Care Centers of Brevard County LLC (Health First AdventHealth Centra Care Cocoa)
- Jose Valentin, PHYSICIAN ASSISTANT
- Victor Manuel Vargas, MD
- Meghan Judith Viegas, APRN
- Vincent P Marino MD PA
- Jennifer Walden
- Walgreen Co (Walgreens #02284)
- Carlos David Walker, PHARM.D.
- George Walker, MD
- Mary Weaver, ARNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.