Individual provider Active NPI

Michael Heid, DO

  • Surgical Critical Care Physician
  • Jacksonville, FL
National Provider Identifier
1710037692
Registry record updated May 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Critical Care PhysicianTaxonomy code 2086S0102X
License
OS7096 Issued in FL
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

Updated by the provider on May 12, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1710037692MedicaidIL
165402003MedicaidAR
502944OtherMOANTHEM BCBS
7100044890MedicaidKY
200184604MedicaidMO
761287OtherHEALTHLINK
P00433989OtherRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170223001919 FL Practitioner - General Surgery 6709981699 Reassigns benefits to 2 organizations

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
Florida Trauma Services LLCGroup PAC ID 3971985938, 92 clinicians

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 Hospital, Jacksonville, FL, CCN 100179
  • HCA Florida Orange Park Hospital Hospital, Orange Park, FL, CCN 100226
  • HCA Florida Putnam Hospital Hospital, Palatka, FL, CCN 100232

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2006023537MOMDSurgery Physician
OS7096FLMDSurgical Critical Care Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Trauma Services, LLC Surgery CurrentSince May 5, 2023 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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.