Organization Active NPI

Samuel L Heering MD PA

  • Obstetrics & Gynecology Physician
  • Boca Raton, FL
National Provider Identifier
1366752438
Registry record updated Jun 24, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
69832 Issued in FL
Legal business name
SAMUEL L HEERING MD PA
Practice address
9970 Central Park Blvd N
Suite 303
Boca Raton, FL 33428-2231
Phone
(561) 218-0767
Fax
(561) 218-3757
NPI assigned
Oct 7, 2010
Last updated
Jun 24, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2013

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

Authorized official

Name
Dr. Samuel L Heering, MDNPI 1417992967
Title
President
Phone
(561) 218-0767

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 69832 FL Primary

Addresses

Primary practice location

9970 Central Park Blvd N
Suite 303
Boca Raton, FL 33428-2231

Mailing address

PO Box 880346
Boca Raton, FL 33488-0346
Phone (561) 218-0767

National Provider Directory

National Provider Directory

Locations

9970 Central Park Blvd N
Ste 303
Boca Raton, FL 33428
Phone (561) 218-0767

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1286409600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372032000000",
    "number": "1366752438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 880346",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334880346",
            "telephone_number": "561-218-0767",
            "fax_number": "561-218-3757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9970 CENTRAL PARK BLVD N",
            "address_2": "SUITE 303",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334282231",
            "telephone_number": "561-218-0767",
            "fax_number": "561-218-3757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAMUEL L HEERING MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-10-07",
        "last_updated": "2013-06-24",
        "status": "A",
        "authorized_official_last_name": "HEERING",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-218-0767",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "FL",
            "license": "69832",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boca Raton, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2013; 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.