D.H. MEDICAL, LLC - NPI 1477855815 - Family Medicine in Port Orange, FL

Q: What is D.H. Medical, LLC's NPI number?

The NPI number for D.H. Medical, LLC is 1477855815. It was assigned to this organization in the NPPES registry on November 17, 2010.

Q: What is D.H. Medical, LLC's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for D.H. Medical, LLC was last updated on October 15, 2024. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About D.h. Medical, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

D.H. MEDICAL, LLC (NPI 1477855815) is a healthcare organization registered as a family medicine in Port Orange, Florida and active in the NPI registry since November 2010. The organization holds a CLIA Certificate of Compliance certificate valid through March 3, 2028 and lists David A Heise, Owner, as its authorized official.

NPPES Registry Identity

NPI1477855815

Entity TypeOrganization

Primary Taxonomy207Q00000X

Legal Business NameD.H. MEDICAL, LLC

Location Address735 DUNLAWTON AVEPort Orange, FL 32127-9226

Mailing Address735 Dunlawton AvePort Orange, FL 32127-9226 · (888) 808-0488 · Fax (386) 872-4232

Phone(888) 808-0488

Fax(386) 872-4232

Organization SubpartNo

Authorized OfficialDavid A HeiseOwner · (386) 235-1489

Enumeration DateNovember 17, 2010

Last NPPES UpdateOctober 15, 2024

NPPES CertifiedOctober 15, 2024

✔ NPI 1477855815 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in FL · ME83299

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

735 DUNLAWTON AVE, Port Orange, FL 32127

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Other Identifiers 1

Medicaid262487700FL

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Florida Blue (BlueCross BlueShield FL), Florida Blue HMO (a BlueCross BlueShield FL company).Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Compliance 10D2278862

Dh Medical LLC · Port Orange, FL

Active · expires Mar 3, 2028

CLIA Number10D2278862

Laboratory TypeAncillary Testing Site In Health Care Center

Certificate Effective DateMarch 4, 2026

Certificate Expiration DateMarch 3, 2028

Laboratory DirectorSean Kaufman

Laboratory Phone(386) 295-5626

Laboratory LocationDh Medical LLC735 Dunlawton Ave, Port Orange, FL 32127

CLIA data matches this NPI record on: Address

This certificate is issued to a laboratory after an inspection that finds the laboratory to be in compliance with all applicable CLIA requirements.

Other Providers at the Same Location NPPES 11

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MARGARET M. THOMPSON A.R.N.P., M.S.N

Nurse Practitioner