JOHN RANDALL HEIL (NPI# 1043396104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1043396104 |
| Entity Type | Individual |
| Full Name | JOHN RANDALL HEIL |
| Credential | M.D. |
| Practice Address |
340 Magnolia Cir Tyndall Afb FL 32403-5612 |
| Practice Telephone | 8504507849 |
| Practice Fax Number | 8502837021 |
| Mailing Telephone | 8504507849 |
| Mailing Fax Number | 8502837021 |
| Enumeration Date | 2006-10-31 |
| Last Update Date | 2018-04-04 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2083A0100X |
Preventive Medicine Specialization: Aerospace Medicine |
152305 | NY | Allopathic & Osteopathic Physicians |
| N | 2083X0100X |
Preventive Medicine Specialization: Occupational Medicine |
152305 | NY | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285605105 | John Heil | Psychologist | 2727 Electric Rd, Suite 100, Roanoke, VA 24018-3547 | 2006-01-30 |
| Street Address |
340 MAGNOLIA CIR |
| City | TYNDALL AFB |
| State | FL |
| Zip Code | 32403-5612 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356335319 | Scott Mckim | Optometrist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2005-09-07 |
| 1215577127 | Sherri Lynn Kelley | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2020-01-08 |
| 1285275180 | Tyrome Laron Brown Jr. | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2019-10-01 |
| 1528542297 | Mara Sturk | Psychologist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2018-09-19 |
| 1619488806 | Clairissa Bradford | Social Worker | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-10-16 |
| 1205371069 | Sarah Woodside | Surgery | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2017-01-03 |
| 1982053617 | Zachary Flink | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-06-03 |
| 1861853533 | Jessica M Barton | Dentist | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2016-03-09 |
| 1841668001 | David Morse | Pharmacist | 340 Magnolia Cir, Tyndall Afb, FL 32403 | 2015-09-04 |
| 1083096838 | Christopher Davis IIi | Physician Assistant | 340 Magnolia Cir, Tyndall Afb, FL 32403-5604 | 2015-06-28 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326408063 | Nathaniel Criddle | Dentist | 325 Aerospace Medicine Sq/sgpd, 340 Magnolia Circle Bldg 1465, Tyndall Afb, FL 32403 | 2016-02-23 |
| 1952730491 | Erick Laron Jackson | Physical Therapist | 325 Mdg/physical Therapy, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2013-11-05 |
| 1972830701 | Quan Tram | Pharmacist | 340 Magnolia Cirlcle, Tyndall Afb, FL 32403 | 2009-11-16 |
| 1952473308 | Robert Allen Frick | Family Medicine | 325th Medical Group 340 Magnolia Circle, Tyndall Afb, Panama City, FL 32403 | 2006-11-14 |
| 1285733907 | 325th Medical Group Sgsl | Military/U.S. Coast Guard Pharmacy | Magnolia Circle, Tyndall Afb, FL 32403 | 2006-09-21 |
| 1093737272 | Walter Edward Calvo | Social Worker | Bldg 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-07-24 |
| 1790727865 | Michelle Gautreaux | Nutritionist | 325 Mdg, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2006-06-12 |
| 1568436962 | 325 Mdg | Psychologist | 325 Mdg Bldg, 1305 Suwannee Ave, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1780658005 | Brant Casford | Radiology | 325 Mdg/sgsar Radiology, Tyndall Afb, FL 32403 | 2006-02-14 |
| 1215911573 | Rama Bhyravabhotla | Physician Assistant | 325 Mdos/sgomf, 340 Magnolia Circle, Tyndall Afb, FL 32403 | 2005-12-01 |
| Find all providers in zip 32403 | ||||
| Taxonomy Code | 2083A0100X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Preventive Medicine |
| Specialization | Aerospace Medicine |
| Aerospace medicine focuses on the clinical care, research, and operational support of the health, safety, and performance of crewmembers and passengers of air and space vehicles, together with the support personnel who assist operation of such vehicles. This population often works and lives in remote, isolated, extreme, or enclosed environments under conditions of physical and psychological stress. Practitioners strive for an optimal human-machine match in occupational settings rich with environmental hazards and engineering countermeasures. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Preventive Medicine, 2007. http://www.abprevmed.org/. American Osteopathic Board of Preventive Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Preventive Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Preventive Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710594973 | Rodney A Friend Md Pa | Preventive Medicine | 7625 Cita Ln Unit 102, New Port Richey, FL 34653-6218 | 2020-09-30 |
| 1093267767 | Philip Scarpa | Preventive Medicine | 17 Bougainvillea Dr, Cocoa Beach, FL 32931-2819 | 2016-10-28 |
| 1235495052 | Charles Hardy Bercier Jr. | Preventive Medicine | 5111 Prieto Dr, Pensacola, FL 32506-5369 | 2012-04-05 |
| 1306162151 | Bradley Howard Smith | Preventive Medicine | 340 Hulsa Rd, Naval Aerospace Medical Institute, Pensacola, FL 32508-1092 | 2010-04-19 |
| 1851598510 | Matthew Henry Hoefer | Preventive Medicine | Naval Aerospace Medical Institute- Code 33, 340 Hulse Road, Pensacola, FL 32508 | 2007-06-27 |
| 1902026297 | Fanancy Louis Anzalone | Preventive Medicine | Miami International Airport-concourse D, Md 3000, Miami, FL 33299-7990 | 2007-04-27 |
| 1598887754 | Bhupendra Kumar Gupta | Preventive Medicine | 613 Medical Care Dr, Brandon, FL 33511-5942 | 2007-04-06 |
| 1114089265 | Gerald Corr | Preventive Medicine | 1263 Mulberry Ct, Marco Island, FL 34145-2323 | 2006-12-15 |
| 1891879284 | Daniel Fitzpatrick | Preventive Medicine | 4225 Woodbine Rd Ste C, Pace, FL 32571-8791 | 2006-10-24 |
| 1346203601 | Richard Alan Beane | Preventive Medicine | 320 Hovey Rd, Naval Air Station Pensacola, Pensacola, FL 32508 | 2006-04-08 |
| Find all providers with the same taxonomy | ||||
| City | TYNDALL AFB |
| Zip Code | 32403 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.