NPIMap

Organization Active NPI

Okeechobee Family Practice P a

  • Family Medicine Physician
  • Okeechobee, FL
National Provider Identifier
1972780955
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10D0929800 Issued in FL
Legal business name
OKEECHOBEE FAMILY PRACTICE P A
Practice address
1713 Hwy 441 N
Suite E
Okeechobee, FL 34972-1900
Phone
(863) 467-8871
Fax
(863) 467-2825
NPI assigned
Jan 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Authorized official

Name
Leland M Heller, M.D.
Title
Owner
Phone
(863) 467-8771

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 10D0929800 FL Primary

Addresses

Primary practice location

1713 Hwy 441 N
Suite E
Okeechobee, FL 34972-1900

Mailing address

1713 US Highway 441 N Ste D
Okeechobee, FL 34972-1900
Phone (863) 467-8771

Other identifiers 1

IdentifierTypeStateIssuer
191542364873OtherFLHUMANA

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1200960000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646179200000",
    "number": "1972780955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1713 US HIGHWAY 441 N STE D",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721900",
            "telephone_number": "863-467-8771",
            "fax_number": "863-467-2825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1713 HWY 441 N",
            "address_2": "SUITE E",
            "city": "OKEECHOBEE",
            "state": "FL",
            "postal_code": "349721900",
            "telephone_number": "863-467-8871",
            "fax_number": "863-467-2825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OKEECHOBEE FAMILY PRACTICE P A",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-22",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A",
        "authorized_official_last_name": "HELLER",
        "authorized_official_first_name": "LELAND",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "863-467-8771",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "10D0929800",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "191542364873",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Okeechobee, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 2, 2022; 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.