John Randall Heil, M.D.

Primary specialty

Aerospace Medicine PhysicianTaxonomy code 2083A0100X

License

152305 Issued in NY

Practice address

340 Magnolia Cir
Tyndall Afb, FL 32403-5612

Phone

(850) 450-7849

Fax

(850) 283-7021

NPI assigned

Oct 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522800000000",
    "number": "1043396104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035612",
            "telephone_number": "850-450-7849",
            "fax_number": "850-283-7021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "340 MAGNOLIA CIR",
            "city": "TYNDALL AFB",
            "state": "FL",
            "postal_code": "324035612",
            "telephone_number": "850-450-7849",
            "fax_number": "850-283-7021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEIL",
        "first_name": "JOHN",
        "middle_name": "RANDALL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-31",
        "last_updated": "2018-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083X0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Occupational Medicine",
            "state": "NY",
            "license": "152305",
            "primary": false
        },
        {
            "code": "2083A0100X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Aerospace Medicine",
            "state": "NY",
            "license": "152305",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jimbell Gray, IDMT
• Nicholas Marks Grunewald, PHARMD
• Thomas Haney, IDMT
• Mark Lee Harris II, DDS
• Teresa Harroun, RN
• Matthew Hetrick, IDMT
• Brittany Lynn Holm, OD
• Fred Kendall Johnson, DPT
• Kimberly Susan Johnson, M.D.
• Jonathon Edward Josephson, MD

• Aerospace Medicine Physician in Tyndall Afb, FL
• Providers in Tyndall Afb, FL by specialty
• Aerospace Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2018; 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.