Healthvine Medical Group Inc

Primary specialty

Rural Health Clinic/CenterTaxonomy code 261QR1300X

Legal business name

HEALTHVINE MEDICAL GROUP INC

Practice address

725 Benton Ave
Brooksville, FL 34601-3213

Phone

(352) 796-1492

NPI assigned

Apr 12, 2016

Last updated

Apr 12, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Maria D Doherty, M.DNPI 1982657193

Title

President

Phone

(352) 569-9990

Specialties & licenses 1

Addresses

Locations

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.

• Maria Digna Doherty, M.D.

  • Pediatrics Physician
  • Brooksville, FL
  • NPI 1982657193
  NPD Authorized official

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

{
    "created_epoch": "1460419200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460419200000",
    "number": "1568826873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "725 BENTON AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013213",
            "telephone_number": "352-796-1492"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "725 BENTON AVE",
            "city": "BROOKSVILLE",
            "state": "FL",
            "postal_code": "346013213",
            "telephone_number": "352-796-1492"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHVINE MEDICAL GROUP INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-12",
        "last_updated": "2016-04-12",
        "status": "A",
        "authorized_official_last_name": "DOHERTY",
        "authorized_official_first_name": "MARIA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "352-569-9990",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dawn Head, LCSW
• Marjorie Laurel Headley, LPN
• Stephanie Lynn Heald, COTA
• Healing Hands Nursing Home Services LLC
• Healix Advanced Wound Care, PLLC
• Jowell Monroe Hearn IV, RN RNFA
• Heartland of Brooksville FL LLC (Heartland of Brooksville)
• Karen Heath, LCSW
• Lydia Hedges, MA CCC-SLP
• Thomas Hedick

• Rural Health Clinic/Center in Brooksville, FL
• Providers in Brooksville, FL by specialty
• Rural Health Clinic/Center in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2016; 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.