Active NPI
Michael Heid, DO
- Surgical Critical Care Physician
- Jacksonville, FL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Critical Care Physician
- License
- OS7096
- Practice address
- 3 Shircliff Way Ste 625
Jacksonville, FL 32204-4776 - Phone
- (904) 308-6900
- Fax
- (904) 308-6927
- NPI assigned
- Jan 11, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 2006023537 | MO | |
| Surgical Critical Care Physician | 2086S0102X | OS7096 | FL | Primary |
| Trauma Surgery Physician | 2086S0127X | OS7096 | FL |
Addresses
Primary practice location
3 Shircliff Way Ste 625
Jacksonville, FL 32204-4776
Mailing address
3 Shircliff Way Ste 625
Jacksonville, FL 32204-4776
Phone (904) 308-6900
Other practice location 1
801 E 6th St. Ste. 602
Bayside Surgical Associates
Panama City, FL 32401
Phone (850) 913-6960
Other identifiers 7
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1710037692 | Medicaid | IL | |
| 165402003 | Medicaid | AR | |
| 502944 | Other | MO | ANTHEM BCBS |
| 7100044890 | Medicaid | KY | |
| 200184604 | Medicaid | MO | |
| 761287 | Other | HEALTHLINK | |
| P00433989 | Other | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Nova Southeastern College of Osteo Medicine, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3627 University Blvd S
Suite 305
Jacksonville, FL 32216-4294
Phone (904) 596-0760
Hospital & facility affiliations
- HCA Florida Memorial Hospital
- HCA Florida Orange Park Hospital
- HCA Florida Putnam Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2006023537 | MO | MD | Surgery Physician |
| OS7096 | FL | MD | Surgical Critical Care Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Florida Trauma Services, LLC | Surgery | Current | Accepting new patients |
| Ozarks Medical Center | Past | Accepting new patients |
Locations
1000 Mar Walt Dr
Ft Walton Bch, FL 32547
Phone (850) 374-9610
3627 University Blvd S
Ste 305
Jacksonville, FL 32216
Phone (214) 712-2444
3625 University Blvd S
Jacksonville, FL 32216
Phone (904) 333-9404
1887 Kingsley Ave
Ste 1900
Orange Park, FL 32073
Phone (904) 272-9981
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Trauma Surgery Physician
- Fort Walton Beach, FL
- NPI 1477296952
-
- Neurological Surgery Physician
- Jacksonville, FL
- NPI 1417987124
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jacksonville, FL
- NPI 1447206438
-
- General Acute Care Hospital
- Orange Park, FL
- NPI 1689611501
-
- General Acute Care Hospital
- Palatka, FL
- NPI 1487045100
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1778544000000",
"number": "1710037692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3 SHIRCLIFF WAY STE 625",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044776",
"telephone_number": "904-308-6900",
"fax_number": "904-308-6927"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 SHIRCLIFF WAY STE 625",
"city": "JACKSONVILLE",
"state": "FL",
"postal_code": "322044776",
"telephone_number": "904-308-6900",
"fax_number": "904-308-6927"
}
],
"practiceLocations": [
{
"address_1": "801 E 6th St. Ste. 602",
"address_2": "Bayside Surgical Associates",
"address_purpose": "LOCATION",
"city": "Panama City",
"state": "FL",
"postal_code": "32401",
"country_code": "US",
"telephone_number": "850-913-6960",
"fax_number": "573-331-5079",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEID",
"first_name": "MICHAEL",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-11",
"last_updated": "2026-05-12",
"certification_date": "2026-05-12",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "MO",
"license": "2006023537",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "FL",
"license": "OS7096",
"primary": true
},
{
"code": "2086S0127X",
"taxonomy_group": "",
"desc": "Surgery, Trauma Surgery",
"state": "FL",
"license": "OS7096",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1710037692",
"state": "IL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "165402003",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "502944",
"state": "MO"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7100044890",
"state": "KY"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200184604",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK",
"identifier": "761287",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00433989",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.