Active NPI
Heartland Womens Health Center P a
- Obstetrics & Gynecology Physician
- Lake City, FL
National Provider Identifier
1306934849
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- ME59691
- Legal business name
- HEARTLAND WOMENS HEALTH CENTER P A
- Practice address
- 351 NE Franklin St
Suite 1125
Lake City, FL 32055-3089 - Phone
- (386) 752-8181
- NPI assigned
- Oct 10, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Felix Daniel Oyola, M.D.
- Title
- President
- Phone
- (386) 752-8181
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | ME59691 | FL | Primary |
Addresses
Primary practice location
351 NE Franklin St
Suite 1125
Lake City, FL 32055-3089
Mailing address
PO Box 2757
Lake City, FL 32056-2757
Phone (386) 752-8181
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 055227500 | Medicaid | FL | |
| 12800 | Other | FL | BCBS OF FL |
| 214713 | Other | AVMED | |
| P00162358 | Other | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1195171200000",
"number": "1306934849",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2757",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320562757",
"telephone_number": "386-752-8181"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "351 NE FRANKLIN ST",
"address_2": "SUITE 1125",
"city": "LAKE CITY",
"state": "FL",
"postal_code": "320553089",
"telephone_number": "386-752-8181"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND WOMENS HEALTH CENTER P A",
"organizational_subpart": "NO",
"enumeration_date": "2006-10-10",
"last_updated": "2007-11-16",
"status": "A",
"authorized_official_last_name": "OYOLA",
"authorized_official_first_name": "FELIX",
"authorized_official_middle_name": "DANIEL",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "386-752-8181",
"authorized_official_credential": "M.D."
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Obstetrics & Gynecology",
"state": "FL",
"license": "ME59691",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "055227500",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF FL",
"identifier": "12800",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AVMED",
"identifier": "214713",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00162358",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lake City, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.