OSTEOPATHIC HERITAGE, P.A. (NPI# 1215107206) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215107206 |
| Entity Type | Organization |
| Organization Name | OSTEOPATHIC HERITAGE, P.A. |
| Other Organization Name | OSTEOPATHIC HERITAGE CORP. |
| Practice Address |
8246 River Country Dr Weeki Wachee FL 34607-2101 |
| Practice Telephone | 3526848637 |
| Practice Fax Number | 3526848638 |
| Mailing Telephone | 3526848637 |
| Mailing Fax Number | 3526848638 |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2018-03-09 |
| Authorized Official Name | JEFFREY S. GROVE (OWNER/PRESIDENT) |
| Authorized Official Telephone | 3526666950 |
| Authorized Official Credential | D.O. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
OS6098 | FL | Allopathic & Osteopathic Physicians |
| Other Name | Type Code |
|---|---|
| Osteopathic Heritage Corp. | Former Legal Business Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316196744 | Osteopathic Heritage, P.a. | Family Medicine | 959 W Jefferson St, Brooksville, FL 34601-2427 | 2008-09-10 |
| 1598751216 | Osteopathic Heritage, P.a. | Family Medicine | 118 Seven Hills Dr, Spring Hill, FL 34609-0235 | 2005-09-27 |
| Street Address |
8246 RIVER COUNTRY DR |
| City | WEEKI WACHEE |
| State | FL |
| Zip Code | 34607-2101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083994248 | Kathryn Moulton-gray | Nurse Practitioner | 8246 River Country Dr, Weeki Wachee, FL 34607-2101 | 2011-08-19 |
| 1194025510 | Bryan Michael Stafford Sr. | Nurse Practitioner | 8246 River Country Dr, Weeki Wachee, FL 34607-2101 | 2010-11-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750593059 | The Center for Alternative Healing | Massage Therapist | 8403 Balm Street, Spring Hill, FL 34607 | 2007-05-07 |
| 1013069186 | David Donald Buethe | Urology | 7614 Jacque Road, Suite A, Hudson, FL 34607 | 2007-01-17 |
| 1134750946 | Heather Lynn Obrien | Massage Therapist | 8219 River Country Dr, Spring Hill, FL 34607 | 2020-01-30 |
| 1679116529 | Alliance for Telepsychiatry | Psychiatry & Neurology | 8425 Balm St, Weeki Wachee, FL 34607 | 2019-10-23 |
| 1578061305 | William Gerard Augello | Chiropractor | 8403 Balm St, Weeki Wachee, FL 34607 | 2018-01-26 |
| 1669785671 | Total Health Network LLC | Clinic/Center | 8403 Balm St, Weeki Wachee, FL 34607 | 2010-07-19 |
| 1568674869 | Suzanne Marie Wall | Massage Therapist | 8403 Balm St, Spring Hill, FL 34607 | 2007-05-07 |
| 1700856895 | Jeffrey T Schinkel | Registered Nurse | 5267 Palisade Dr, Weeki Wachee, FL 34607-1414 | 2006-01-23 |
| 1366674046 | Sisto P. Serafini | Internal Medicine | 8246 River Country Dr., Spring Hill, FL 34607-2101 | 2009-08-14 |
| 1609246230 | Brownstone Healthcare | Home Health | 5431 Lloyd Dr, Weeki Wachee, FL 34607-2125 | 2015-09-24 |
| Find all providers in zip 34607 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811598105 | Foundations Medical Center Pllc | Family Medicine | 4467 Commons Dr W Ste F-g, Destin, FL 32541-8454 | 2020-11-04 |
| 1831704345 | Vasundhara Kuchibhotla | Family Medicine | 1630 Sw 75th Ter, Gainesville, FL 32607-6604 | 2020-09-11 |
| 1356952170 | Discreet Health Solutions, LLC | Family Medicine | 7124 Pelican Island Dr, Tampa, FL 33634-7463 | 2020-08-14 |
| 1033728019 | Nana Aisha Garba | Family Medicine | 11200 Sw 8th St Ahc2 Rm 589b, Miami, FL 33199-0001 | 2020-07-27 |
| 1043838451 | Lisa M Parker | Family Medicine | 7955 Bay St Ste 2, Sebastian, FL 32958-3282 | 2020-07-13 |
| 1699390336 | Rosenie B Jasmin | Family Medicine | Dove Medical Centers, LLC, 2901 West Oakland Park Blvd Ste A4-5, Oakland Park, FL 33311 | 2020-06-09 |
| 1588287239 | Sarai L Gonzalez | Family Medicine | 16182 Nw 21st St, Pembroke Pines, FL 33028-1255 | 2020-05-28 |
| 1184247033 | Wellness Solutions 2020 LLC | Family Medicine | 2300 N Commerce Pkwy Ste 321, Weston, FL 33326-3257 | 2020-05-27 |
| 1780207910 | Homeville Medical Care | Family Medicine | 11040 Nw 18th Ct, Plantation, FL 33322-3407 | 2020-05-21 |
| 1942829536 | Health Medical Ultra Limited Liability Company | Family Medicine | 1760 Havendale Blvd Nw, Winter Haven, FL 33881-1224 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | WEEKI WACHEE |
| Zip Code | 34607 |
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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.