Beverly a Heinking, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS5866 Issued in FL

Legal business name

BEVERLY A HEINKING, D.O.

Practice address

300 Pinewood Dr SW
Live Oak, FL 32064-4029

Phone

(386) 362-1014

Fax

(386) 362-5076

NPI assigned

Aug 31, 2006

Last updated

Jul 2, 2010By 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. Beverly Ann Heinking, D.O.NPI 1073593737

Title

Owner

Phone

(386) 362-1014

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Beverly Ann Heinking, D.O.

  • Family Medicine Physician
  • Live Oak, FL
  • NPI 1073593737
  Authorized official Same address or phone

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1278028800000",
    "number": "1700998010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 PINEWOOD DR SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644029",
            "telephone_number": "386-362-1014",
            "fax_number": "386-362-5076"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 PINEWOOD DR SW",
            "city": "LIVE OAK",
            "state": "FL",
            "postal_code": "320644029",
            "telephone_number": "386-362-1014",
            "fax_number": "386-362-5076"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BEVERLY A HEINKING, D.O.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2010-07-02",
        "status": "A",
        "authorized_official_last_name": "HEINKING",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "386-362-1014",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS5866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "051350402",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vida Barrett
• Andrew Clyde Bass, MEDICAL DOCTOR
• Janice Baucom, APRN
• Mayla A Beaty
• April B. Beck, PHARMD
• Yvonne Deaton Billups, ARNP
• Bio-Medical Applications of Florida, Inc. (Bma of Live Oak)
• John Hoey Bonura, DMD
• Jeffrey Boudette, RPH
• Karen Anne Braun

• Family Medicine Physician in Live Oak, FL
• Providers in Live Oak, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2010; 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.