Anita Renee Vander Heyden, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

ME45975 Issued in FL

Practice address

1317 Mandarin Isle
Ft Lauderdale, FL 33315-1648

Phone

(954) 524-7247

NPI assigned

Oct 19, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

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: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Paragon Contracting Services LLC

  • Emergency Medicine Physician
  • Birmingham, AL
  • NPI 1225071459

  FL

  Medicare reassignment NPD
• Emergency Medicine Specialists of South Florida

  • Emergency Medicine Physician
  • Miami, FL
  • NPI 1407834138
  NPD (past)
• Family Plus Medical & Rehab Center LLC

  • General Practice Physician
  • Miami, FL
  • NPI 1457455164
  NPD (past)

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

{
    "created_epoch": "1129680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1210809600000",
    "number": "1366431546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1317 MANDARIN ISLE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1317 MANDARIN ISLE",
            "city": "FT LAUDERDALE",
            "state": "FL",
            "postal_code": "333151648",
            "telephone_number": "954-524-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VANDER HEYDEN",
        "first_name": "ANITA",
        "middle_name": "RENEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-10-19",
        "last_updated": "2008-05-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "FL",
            "license": "ME45975",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "048287100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Daniel J Van Dongen
• Emelyn Van Uden Manjarres, MD
• Cindy Van, CRNA
• Angie Vanbemden, PHD, ATC, CSCS
• Mark Vandenberg
• Robert Vanderleest, MD
• Kristen Vanderlely, M.S., ITDS
• Marjan Vandevar, D.O.
• Vanguard Catheterization Lab
• Vanguard Medical Associates of South Florida PA

• Emergency Medicine Physician in Ft Lauderdale, FL
• Providers in Ft Lauderdale, FL by specialty
• Emergency Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2008; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.