Individual provider Active NPI

Larry Kevin Heard

  • Dermatology Physician
  • Plant City, FL
National Provider Identifier
1942735626
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
ME147922 Issued in FL
Practice address
2010 Thonotosassa Rd
Plant City, FL 33563-2941
Phone
(813) 752-0757
NPI assigned
May 1, 2017
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NU
Dermatology Physician 207N00000X ME147922 FL Primary

Addresses

Primary practice location

2010 Thonotosassa Rd
Plant City, FL 33563-2941

Mailing address

2010 Thonotosassa Rd
Plant City, FL 33563-2941
Phone (813) 752-0757

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
I20210106001106 FL Practitioner - Dermatology 0244502953 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Medical College of Georgia School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Erica Smithberger MD. PLGroup PAC ID 2264655836, 3 clinicians

Practice addresses (Care Compare)

2010 Thonotosassa Rd
Plant City, FL 33563-2941
Phone (813) 752-0757

Merit-based Incentive Payment System (MIPS)

Final score
94.97 of 100Reported as individual
Quality
90.85
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision36
Removal of skin lesions603
Removal of skin cancer67
Removal or shaving of skin growth47
Skin biopsy191

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME147922FLMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Erica Smithberger M.D., P.L. Dermatology CurrentSince Jan 1, 2021 Accepting new patients

Locations

2010 Thonotosassa Rd
Plant City, FL 33563
Phone (813) 752-0757

Interoperability endpoints

  • Direct secure messaging: lheard@claytondermatology.emadirect.md

Organizations & group practices 1

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": "1493596800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1942735626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 THONOTOSASSA RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632941",
            "telephone_number": "813-752-0757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2010 THONOTOSASSA RD",
            "city": "PLANT CITY",
            "state": "FL",
            "postal_code": "335632941",
            "telephone_number": "813-752-0757"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEARD",
        "first_name": "LARRY",
        "middle_name": "KEVIN",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-05-01",
        "last_updated": "2022-03-14",
        "certification_date": "2022-02-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME147922",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plant City, FL

Sources for this page

Verify at the official NPI Registry.