Individual provider Active NPI

Steven Lee Heller, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Lantana, FL
National Provider Identifier
1689257024
Registry record updated May 4, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA9114331 Issued in FL
Practice address
7051 Seacrest Blvd
Lantana, FL 33462-5139
Phone
(561) 296-5288
NPI assigned
May 4, 2021
Last updated
May 4, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 4, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9114331 FL Primary

Addresses

Primary practice location

7051 Seacrest Blvd
Lantana, FL 33462-5139

Mailing address

255 Wheelhouse LN Apt 523
Lake Mary, FL 32746-3823
Phone (407) 697-0644

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20221021000426 GA Practitioner - Physician Assistant 2163898883 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
TMC Immediate Care, IncGroup PAC ID 9133105976, 22 clinicians

Practice addresses (Care Compare)

100 Tanner Dr
Bremen, GA 30110-2537
Phone (770) 836-9445

101 Quartz Dr
Suite 101
Villa Rica, GA 30180-3252
Phone (770) 949-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
11257GAMDObstetrics & Gynecology Physician
PA9114331FLMDPhysician Assistant

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1620086400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1620086400000",
    "number": "1689257024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 WHEELHOUSE LN APT 523",
            "city": "LAKE MARY",
            "state": "FL",
            "postal_code": "327463823",
            "telephone_number": "407-697-0644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7051 SEACREST BLVD",
            "city": "LANTANA",
            "state": "FL",
            "postal_code": "334625139",
            "telephone_number": "561-296-5288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HELLER",
        "first_name": "STEVEN",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-04",
        "last_updated": "2021-05-04",
        "certification_date": "2021-05-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9114331",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lantana, FL

Sources for this page

Verify at the official NPI Registry.