Organization Active NPI

Ocean Dermatology LLC

  • Medical Specialty Clinic/Center
  • Wellington, FL
National Provider Identifier
1497443675
Registry record updated May 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
Legal business name
OCEAN DERMATOLOGY LLC
Practice address
2515 S State Road 7 Ste 200
Wellington, FL 33414-9334
Phone
(561) 694-5800
Fax
(561) 694-5900
NPI assigned
Apr 26, 2023
Last updated
May 3, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 3, 2023

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

Authorized official

Name
Dr. Heather Elise Houck, MDNPI 1225027527
Title
President
Phone
(561) 373-9416

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X NU Primary

Addresses

Primary practice location

2515 S State Road 7 Ste 200
Wellington, FL 33414-9334

Mailing address

1739 B Rd
Loxahatchee, FL 33470-4221
Phone (561) 373-9416

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20230606002391 FL Part B Supplier - Clinic/Group Practice 2062879018 Receives reassigned benefits from 1 practitioner
Practice locations: Jupiter, FL; Wellington, FL

National Provider Directory

National Provider Directory

Locations

2515 S State Road 7
Ste 200
Wellington, FL 33414
Phone (561) 694-5800

Practitioners & affiliated clinicians

Practitioners 4

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": "1682467200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1683072000000",
    "number": "1497443675",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1739 B RD",
            "city": "LOXAHATCHEE",
            "state": "FL",
            "postal_code": "334704221",
            "telephone_number": "561-373-9416"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2515 S STATE ROAD 7 STE 200",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334149334",
            "telephone_number": "561-694-5800",
            "fax_number": "561-694-5900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCEAN DERMATOLOGY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-04-26",
        "last_updated": "2023-05-03",
        "certification_date": "2023-05-03",
        "status": "A",
        "authorized_official_last_name": "HOUCK",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_middle_name": "ELISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "561-373-9416",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wellington, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.