Active NPI
Maurice Heard III, MD
- Specialist
- Boca Raton, FL
National Provider Identifier
1881697977
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ME79343
- Practice address
- 3848 Fau Blvd
Ste 200
Boca Raton, FL 33431-6437 - Phone
- (561) 362-9191
- Fax
- (561) 394-5674
- NPI assigned
- May 23, 2005
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | ME79343 | FL | Primary |
Addresses
Primary practice location
3848 Fau Blvd
Ste 200
Boca Raton, FL 33431-6437
Mailing address
3848 Fau Blvd
Ste 200
Boca Raton, FL 33431-6437
Phone (561) 362-9191
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 268386500 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME79343 | FL | MD | Specialist |
Practice roles (4 of 6)
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| National P.E.T. Scan Dade, LLC | Past | Accepting new patients | |
| Ascent Diagnostic Imaging of Tamarac LLC | Past | Accepting new patients | |
| Ascent Diagnostic Imaging of Jacksonville LLC | Past | Accepting new patients | |
| National Pet Scan Management, LLC | Specialist | Past | Accepting new patients |
Networks
- Freedom Health HMO Network
- Optimum HealthCare HMO Network
Organizations & group practices 4
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.
-
- Diagnostic Radiology Physician
- Jacksonville, FL
- NPI 1538333117
-
- Diagnostic Radiology Physician
- Tamarac, FL
- NPI 1669639340
-
- Radiology Clinic/Center
- Miami, FL
- NPI 1891798732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1116806400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1489536000000",
"number": "1881697977",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3848 FAU BLVD",
"address_2": "STE 200",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316437",
"telephone_number": "561-362-9191",
"fax_number": "561-394-5674"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3848 FAU BLVD",
"address_2": "STE 200",
"city": "BOCA RATON",
"state": "FL",
"postal_code": "334316437",
"telephone_number": "561-362-9191",
"fax_number": "561-394-5674"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HEARD",
"first_name": "MAURICE",
"name_suffix": "III",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-23",
"last_updated": "2017-03-15",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "FL",
"license": "ME79343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "268386500",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Boca Raton, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.