Organization Active NPI

Heath Foot and Leg Clinic LLC

  • Foot & Ankle Surgery Podiatrist
  • Cooper City, FL
National Provider Identifier
1033168281
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
PO3203 Issued in FL
Legal business name
HEATH FOOT AND LEG CLINIC LLC
Practice address
2525 Embassy Dr
Suite 4
Cooper City, FL 33026-4573
Phone
(954) 243-8176
NPI assigned
May 7, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
David John Heath, D.P.M.NPI 1053360099
Title
President
Phone
(954) 243-8176

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213ES0103X PO3203 FL Primary

Addresses

Primary practice location

2525 Embassy Dr
Suite 4
Cooper City, FL 33026-4573

Mailing address

8135 NW 198TH Ter
Miami Gardens, FL 33015-6390
Phone (305) 816-0073

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20070305000537 FL Part B Supplier - Clinic/Group Practice 2567565963 Receives reassigned benefits from 2 practitioners
Practice locations: Hollywood, FL

National Provider Directory

National Provider Directory

Locations

2525 Embassy Dr
Ste 4
Pembroke Pines, FL 33026
Phone (954) 434-9877

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1146960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033168281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8135 NW 198TH TER",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "330156390",
            "telephone_number": "305-816-0073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2525 EMBASSY DR",
            "address_2": "SUITE 4",
            "city": "COOPER CITY",
            "state": "FL",
            "postal_code": "330264573",
            "telephone_number": "954-243-8176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATH FOOT AND LEG CLINIC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HEATH",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "954-243-8176",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "FL",
            "license": "PO3203",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cooper City, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.