Heathrow OB GYN

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

HEATHROW OB GYN

Practice address

942 Saxon Blvd
Suite a
Orange City, FL 32763-8358

Phone

(386) 775-4448

Fax

(386) 775-4449

NPI assigned

Mar 6, 2008

Organization subpart

No

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

Authorized official

Name

John Johannessen

Title

VP Operations

Phone

(386) 775-4448

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204761600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204761600000",
    "number": "1184894149",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "942 SAXON BLVD",
            "address_2": "SUITE A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638358",
            "telephone_number": "386-775-4448",
            "fax_number": "386-775-4449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "942 SAXON BLVD",
            "address_2": "SUITE A",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327638358",
            "telephone_number": "386-775-4448",
            "fax_number": "386-775-4449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEATHROW OB GYN",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-06",
        "last_updated": "2008-03-06",
        "status": "A",
        "authorized_official_last_name": "JOHANNESSEN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_title_or_position": "VP OPERATIONS",
        "authorized_official_telephone_number": "386-775-4448"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Bonnie L Heiser, SLP
• April Heller, A.P.
• Litza Hernandez-Munoz, APRN
• Adriana Hernandez

• Obstetrics & Gynecology Physician in Orange City, FL
• Providers in Orange City, FL by specialty
• Obstetrics & Gynecology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 6, 2008; 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.