Active NPI
Corey A Heichel, P.A.-C.
- Medical Physician Assistant
- Lake Mary, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 2134
- Practice address
- 795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191 - Phone
- (386) 561-9967
- Fax
- (844) 815-1446
- NPI assigned
- Jul 31, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2134 | SC | |
| Medical Physician Assistant | 363AM0700X | 2134 | SC | Primary |
Addresses
Primary practice location
795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191
Mailing address
795 Primera Blvd Ste 1001
Lake Mary, FL 32746-2191
Phone (386) 561-9967
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1944PA | Medicaid | SC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- May accept Medicare assignment
- Group practices
Practice addresses (Care Compare)
759 Harley Strickland Blvd
Orange City, FL 32763-7954
915 Harley Strickland Blvd
Orange City, FL 32763-7967
Phone (386) 561-9967
Hospital & facility affiliations
- Adventhealth Orlando
- Adventhealth Deland
- Adventhealth Fish Memorial
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2134 | SC | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Central Florida Rheumatology Consultants LLC | Current | Accepting new patients |
Locations
795 Primera Blvd
Ste 1001
Lake Mary, FL 32746
Phone (386) 561-9967
Interoperability endpoints
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Rheumatology Physician
- Orange City, FL
- NPI 1205328408
-
- Non-Pharmacy Dispensing Site
- Lake Mary, FL
- NPI 1114758620
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Orlando, FL
- NPI 1306938071
-
- Clinical Medical Laboratory
- Orlando, FL
- NPI 1801569728
Hospital
-
- General Acute Care Hospital
- Deland, FL
- NPI 1649367269
-
- General Acute Care Hospital
- Orange City, FL
- NPI 1700978558
-
- Internal Medicine Physician
- Orange City, FL
- NPI 1902095078
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185840000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1723075200000",
"number": "1134319601",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "795 PRIMERA BLVD STE 1001",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462191",
"telephone_number": "386-561-9967",
"fax_number": "844-815-1446"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "795 PRIMERA BLVD STE 1001",
"city": "LAKE MARY",
"state": "FL",
"postal_code": "327462191",
"telephone_number": "386-561-9967",
"fax_number": "844-815-1446"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEICHEL",
"first_name": "COREY",
"middle_name": "A",
"credential": "P.A.-C.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-31",
"last_updated": "2024-08-08",
"certification_date": "2024-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "SC",
"license": "2134",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "SC",
"license": "2134",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1944PA",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake Mary, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.