Beverly A Heinking, D.O.
Beverly A Heinking, D.O. is a healthcare organization registered as Family Medicine Physician in Live Oak, FL, holding Type 2 (organization) NPI 1700998010 since 2006. The authorized official on file is Beverly Heinking, Owner.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1700998010 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Beverly A Heinking, D.O. |
| Practice address | 300 PINEWOOD DR SW, Live Oak, FL, 32064 |
| Phone | 3863621014 |
| Fax | 3863625076 |
| Enumeration date | 2006-08-31 |
| Last updated in NPPES | 2010-07-02 |
Authorized official
| Name | Beverly Heinking |
|---|---|
| Title | Owner |
| Phone | 3863621014 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 207Q00000X | Family Medicine Physician | Primary | OS5866 | FL |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 051350402 | Medicaid | FL | — |
Copy-ready billing details
Provider: Beverly A Heinking, D.O. NPI: 1700998010 Taxonomy: 207Q00000X (Family Medicine Physician) Address: 300 PINEWOOD DR SW, Live Oak, FL, 32064
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1073593737 | Beverly Heinking | Individual | Family Medicine Physician | Live Oak, FL |
| 1740901743 | Trenton Medical Center, Inc. | Organization | Federally Qualified Health Center (FQHC) | Live Oak, FL |
Verify this record
Cross-check NPI 1700998010 against the authoritative CMS record: view Beverly A Heinking, D.O. on the official NPPES registry .
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes — even if the provider moves or changes specialty. Read the full guide or validate an NPI number.
Frequently asked questions
What is a Type 2 NPI?
What type of organization is Beverly A Heinking, D.O.?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2010-07-02.