Heal Medical Group LLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

C1-0007939 Issued in DE

Legal business name

HEAL MEDICAL GROUP LLC

Practice address

200 Banning St
Suite #300
Dover, DE 19904-3485

Phone

(302) 741-0204

Fax

(302) 674-5874

NPI assigned

Nov 29, 2007

Organization subpart

No

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

Authorized official

Name

Ayoola Ayobanji Ayoola, MD

Title

Physician

Phone

(302) 741-0204

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1196294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343088000000",
    "number": "1508048745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "SUITE 300",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043485",
            "telephone_number": "302-367-5808",
            "fax_number": "302-674-5874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 BANNING ST",
            "address_2": "SUITE #300",
            "city": "DOVER",
            "state": "DE",
            "postal_code": "199043485",
            "telephone_number": "302-741-0204",
            "fax_number": "302-674-5874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEAL MEDICAL GROUP LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-11-29",
        "last_updated": "2012-07-24",
        "status": "A",
        "authorized_official_last_name": "AYOOLA",
        "authorized_official_first_name": "AYOOLA",
        "authorized_official_middle_name": "AYOBANJI",
        "authorized_official_title_or_position": "PHYSICIAN",
        "authorized_official_telephone_number": "302-741-0204",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "DE",
            "license": "C1-0007939",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100041565",
            "state": "DE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Violet Elizabeth Hayes
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• Nadiene Elizabeth Haynes, MD
• Madison Hazen
• Brittany Lauren Hazlett, LCSW
• Heal the Soul LLC
• Healing Adults & Adolescents Residential Treatment Program LLC
• Healing Generations
• Healing Hearts Compassionate Counseling LLC
• Healing Path Counseling LLC

• Internal Medicine Physician in Dover, DE
• Providers in Dover, DE by specialty
• Internal Medicine Physician in Delaware

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2012; 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.