HEARTLAND CARDIOLOGY, LLC (NPI# 1134503840) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1134503840 |
Entity Type | Organization |
Organization Name | HEARTLAND CARDIOLOGY, LLC |
Practice Address |
551 N Hillside St Suite 410 Wichita KS 67214-4923 |
Practice Telephone | 3166865300 |
Practice Fax Number | 3166512660 |
Mailing Telephone | 3166865300 |
Mailing Fax Number | 3166512660 |
Enumeration Date | 2015-07-13 |
Last Update Date | 2015-07-13 |
Authorized Official Name | MR. BARRY REYNOLDS (CHIEF EXECUTIVE OFFICER) |
Authorized Official Telephone | 3166865300 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 207R00000X | Internal Medicine | Allopathic & Osteopathic Physicians | ||
N | 207RI0011X |
Internal Medicine Specialization: Interventional Cardiology |
Allopathic & Osteopathic Physicians | ||
Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
KS | PENDING | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942493317 | Heartland Cardiology, LLC | Internal Medicine | 1011 Bowles Ave, Suite 205, Fenton, MO 63026 | 2007-08-20 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HEARTLAND CARDIOLOGY, LLC | 3535 N Webb Rd, Wichita, KS 67226-8127 |
Street Address |
551 N HILLSIDE ST SUITE 410 |
City | WICHITA |
State | KS |
Zip Code | 67214-4923 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1013913490 | Akash C. Joshi | Radiology | 551 N Hillside St, Ste 320, Wichita, KS 67214-4926 | 2005-06-22 |
1861857310 | Rachel L Stiger | Nurse Practitioner | 551 N Hillside St, Suite 410, Wichita, KS 67214-4923 | 2015-12-29 |
1598148066 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 551 N Hillside St, Suite 510, Wichita, KS 67214-4923 | 2015-07-02 |
1154703197 | Wichita Radiological Group Prof Assoc | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier | 551 N Hillside St, Suite 320, Wichita, KS 67214-4923 | 2015-06-26 |
1417336280 | Michelle L Cortese | Physical Therapist | 551 N Hillside St, Suite 510, Wichita, KS 67214-4923 | 2015-05-26 |
1063813418 | Amy Sharp | Nurse Practitioner | 551 N Hillside St, Suite #410, Wichita, KS 67214-4923 | 2014-09-04 |
1538585831 | Kansas Sleep Medicine, LLC | Durable Medical Equipment & Medical Supplies | 551 N Hillside St, Ste 320, Wichita, KS 67214-4923 | 2014-03-11 |
1609292168 | Erica Combs | Nurse Practitioner | 551 N Hillside St, Suite 410, Wichita, KS 67214-4923 | 2014-03-07 |
1437587664 | Lab One LLC | Clinical Medical Laboratory | 551 N Hillside St, Ste 510, Wichita, KS 67214-4928 | 2013-10-25 |
1144669573 | Kaylene Marie Schamber-heller | Nurse Practitioner | 551 N Hillside St, Suite 510, Wichita, KS 67214-4923 | 2013-06-19 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1124591185 | Laquita Patrice Boyede | Durable Medical Equipment & Medical Supplies | 1503 Northeast Parkway, Wichita, KS 67214 | 2019-01-02 |
1891270674 | Kathryn Denise Boomer | Physician Assistant | 929 St. Francis N, Wichita, KS 67214 | 2018-09-27 |
1447756457 | Cardinal Health 132 LLC | Pharmacy | 527 N Grove Street, Suite 100, Wichita, KS 67214 | 2018-03-30 |
1023517174 | Laboratory Corporation of America Holdings | Clinical Medical Laboratory | 3243 E Murdock Street, Level G, Wichita, KS 67214 | 2018-02-05 |
1558887901 | Shonnetta Lachan Gabriel | Counselor | 2707 E. 21st St. N, Wichita, KS 67214 | 2017-08-17 |
1417492174 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 803 N Broadway Ave, Wichita, KS 67214 | 2017-01-04 |
1952850653 | Rachel J Johnson | Counselor | 805 N Volutsia, Wichita, KS 67214 | 2016-09-23 |
1063899813 | Christy Lee Foos | Social Worker | 2707 E. 21st St. North, Healthcore Clinic, Wichita, KS 67214 | 2015-04-30 |
1952708018 | William Schroeder Fargo | Specialist | 701 N. Emporia, Wichita, KS 67214 | 2014-12-04 |
1447692710 | Valeriya V Hunter | Dentist | 527 N Grove, Wichita, KS 67214 | 2013-07-26 |
Find all providers in zip 67214 |
Taxonomy Code | 207RC0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Cardiovascular Disease |
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1417347857 | Kansas Vascular Medicine, P.a. | Internal Medicine | 6130 E Central Ave Ste 117, Wichita, KS 67208-4238 | 2015-01-23 |
1114234101 | James Clinton Mershon | Internal Medicine | 7617 E Donegal St, Wichita, KS 67206-1613 | 2010-09-12 |
1417077272 | Richard B Bloom | Internal Medicine | 3730 N Ridge Rd Ste 200, Kansas Endovascular Medicine Associates, Wichita, KS 67205-1228 | 2007-03-29 |
1316013469 | Eecp Heart Center of Kansas Inc | Internal Medicine | 551 N Hillside St Ste 130, Wichita, KS 67214-4924 | 2006-11-28 |
1588646236 | Daniel Ryan Alvarez | Internal Medicine | 1515 S Clifton Ave Ste 320, Wichita, KS 67218-2953 | 2005-11-17 |
1063419109 | Jaime R Melean | Internal Medicine | 1431 Bluffview St, Ste 112, Wichita, KS 67218-3039 | 2005-07-05 |
1386640233 | Charles W Beck | Internal Medicine | 3535 N Webb Rd, Wichita, KS 67226-8127 | 2005-06-24 |
1194721951 | Dan A Francisco Md Pa | Internal Medicine | 1515 S Clifton Ave, Ste 150, Wichita, KS 67218-2957 | 2005-06-24 |
1619973906 | James A.m. Smith | Internal Medicine | 925 N Hillside St, Wichita, KS 67214-3219 | 2005-06-22 |
1710472162 | Christian A. Hourani, Md, Pa | Internal Medicine | 9350 E 35th St N Ste 101, Wichita, KS 67226-2022 | 2018-06-28 |
Find all providers in WICHITA |
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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.