Individual provider Active NPI

Craig S Heligman, M.D.

  • Occupational Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1093774523
Registry record updated Sep 26, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Medicine PhysicianTaxonomy code 2083X0100X
License
ME113751 Issued in FL
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

Updated by the provider on Sep 26, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
207763913MedicaidMO

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

LicenseStateTypeSpecialty
ME113751FLMDOccupational Medicine Physician
R6J47MOMDOccupational 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.

Verify at the official NPI Registry.