Heller Dermatology Center PA

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

OS6226 Issued in FL

Legal business name

HELLER DERMATOLOGY CENTER PA

Practice address

511 N Clyde Morris Blvd
Daytona Beach, FL 32114-2323

Phone

(386) 239-8700

Fax

(386) 239-7070

NPI assigned

Sep 27, 2010

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey Jay Heller, D. O.NPI 1689646929

Title

President / Owner

Phone

(386) 239-8700

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jeffrey Jay Heller, DO

  • Dermatology Physician
  • Daytona Beach, FL
  • NPI 1689646929
  NPD Authorized official

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

{
    "created_epoch": "1285545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298937600000",
    "number": "1477862324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142323",
            "telephone_number": "386-239-8700",
            "fax_number": "386-239-7070"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 N CLYDE MORRIS BLVD",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321142323",
            "telephone_number": "386-239-8700",
            "fax_number": "386-239-7070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HELLER DERMATOLOGY CENTER PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-27",
        "last_updated": "2011-03-01",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "JAY",
        "authorized_official_title_or_position": "PRESIDENT / OWNER",
        "authorized_official_telephone_number": "386-239-8700",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D. O."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "OS6226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF FL",
            "identifier": "80659",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Moki Thon Moe Hein, MD
• Bryan Heins, RN
• Ryan D Heise
• Lucas Augusto Heldt Manica, MD
• Vashti F Hellein, MD
• Jeffrey Jay Heller, DO
• Katherine Merryett Heller, PHARM.D.
• Victoria Heller, ARNP
• Juliana Lyn Hellmann, D.O.
• Thomas Hemingway, MD

• Dermatology Physician in Daytona Beach, FL
• Providers in Daytona Beach, FL by specialty
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2011; 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.