Active NPI
Craig S Heligman, M.D.
- Occupational Medicine Physician
- Jacksonville, FL
National Provider Identifier
1093774523
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Medicine Physician
- License
- ME113751
- Practice address
- 500 Water St # J290
Jacksonville, FL 32202-4445 - Phone
- (904) 359-3658
- Fax
- (904) 245-4455
- NPI assigned
- Mar 22, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Medicine Physician | 2083X0100X | R6J47 | MO | |
| Occupational Medicine Physician | 2083X0100X | ME113751 | FL | Primary |
Addresses
Primary practice location
500 Water St # J290
Jacksonville, FL 32202-4445
Mailing address
500 Water St # J290
Jacksonville, FL 32202-4445
Phone (904) 359-3658
Other practice location 1
1513 Union Ave
Suite 2700
Moberly, MO 65270-9407
Phone (660) 263-8460
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207763913 | Medicaid | MO |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME113751 | FL | MD | Occupational Medicine Physician |
| R6J47 | MO | MD | Occupational Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142985600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569456000000",
"number": "1093774523",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 WATER ST # J290",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024445",
"telephone_number": "904-359-3658",
"fax_number": "904-245-4455"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 WATER ST # J290",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322024445",
"telephone_number": "904-359-3658",
"fax_number": "904-245-4455"
}
],
"practiceLocations": [
{
"address_1": "1513 Union Ave",
"address_2": "Suite 2700",
"address_purpose": "LOCATION",
"city": "Moberly",
"state": "MO",
"postal_code": "652709407",
"country_code": "US",
"telephone_number": "660-263-8460",
"fax_number": "660-263-8735",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HELIGMAN",
"first_name": "CRAIG",
"middle_name": "S",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-22",
"last_updated": "2019-09-26",
"status": "A"
},
"taxonomies": [
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "MO",
"license": "R6J47",
"primary": false
},
{
"code": "2083X0100X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Occupational Medicine",
"state": "FL",
"license": "ME113751",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "207763913",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.