HEARTLAND WEIGHT LOSS CLINIC, LLC (NPI# 1215536818) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215536818 |
| Entity Type | Organization |
| Organization Name | HEARTLAND WEIGHT LOSS CLINIC, LLC |
| Practice Address |
3095 Lexington Ave Ste 200 Cape Girardeau MO 63701-2629 |
| Mailing Address |
1610 N Kingshighway St Ste 301 Cape Girardeau MO 63701-2266 |
| Practice Telephone | 5738034060 |
| Practice Fax Number | 5738034061 |
| Mailing Telephone | 5738034060 |
| Mailing Fax Number | 5738034061 |
| Enumeration Date | 2020-10-23 |
| Last Update Date | 2020-10-23 |
| Authorized Official Name | RYAN A LEGRAND (PHYSICIAN) |
| Authorized Official Telephone | 5738034060 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities |
| Street Address |
3095 LEXINGTON AVE STE 200 |
| City | CAPE GIRARDEAU |
| State | MO |
| Zip Code | 63701-2629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336748110 | Westbrook Dialysis, LLC | Clinic/Center | 140 West Drive, Cape Girardeau, MO 63701 | 2020-10-22 |
| 1972079580 | Savannah Laine Menard | Behavior Technician | 20 S. Sprigg St, Cape Girardeau, MO 63701 | 2018-10-22 |
| 1932690377 | Broadway Specialty, LLC | Pharmacy | 706 Broadway St, Cape Girardeau, MO 63701 | 2018-05-22 |
| 1356864649 | Terri L. Mccord | Pharmacist | 4170 Connor Dr, Cape Girardeau, MO 63701 | 2017-07-19 |
| 1013459312 | Christina Cossou | Nurse Practitioner | 2116 Megan Dr Ste 102, Cape Girardeau, MO 63701 | 2016-11-17 |
| 1124573365 | Ashley Sullivan | Massage Therapist | 3041 Melrose Ave, Cape Girardeau, MO 63701 | 2016-08-17 |
| 1225432172 | Axpm - Merkley, LLC | Dentist | 2116 Megan Dr., Suite 101, Cape Girardeau, MO 63701 | 2014-10-21 |
| 1639573397 | Marian Perez Hurt | Physical Therapist | 2001 N. Kingshighway, Fountainbleau Lodge, Cape Girardeau, MO 63701 | 2014-10-09 |
| 1891194213 | Deanna Abner | Case Manager/Care Coordinator | 20 South Sprigg, Cape Girardeau, MO 63701 | 2014-08-21 |
| 1831506880 | Kwadwo O Britwum | Behavioral Analyst | Morningstar Behavioral Associates, 338 W. Broadway Suite 301, Cape Girardeau, MO 63701 | 2014-07-22 |
| Find all providers in zip 63701 | ||||
| Taxonomy Code | 261QM2500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Medical Specialty |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992142418 | Thomas M. Gibbons, Od, LLC | Clinic/Center | 115 S Broadview St, Cape Girardeau, MO 63703-5760 | 2013-05-23 |
| 1417957150 | Cape Neurosurgical Associates PC | Clinic/Center | 150 S Mount Auburn Rd, Suite 320, Cape Girardeau, MO 63703-4910 | 2005-07-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902361652 | Redings Mill Internal Care | Clinic/Center | 454 Redings Mill Rd, Joplin, MO 64804 | 2019-02-06 |
| 1386126308 | Kirksville Specialty Clinic LLC | Clinic/Center | 1108 E Patterson St Ste 10, Kirksville, MO 63501-4043 | 2018-09-06 |
| 1639616113 | Stratus Medical Group | Clinic/Center | 2010 N Main St, Sikeston, MO 63801-8478 | 2017-01-23 |
| 1871044735 | Susan D Purcell Md Dermatology LLC | Clinic/Center | 969 N Mason Rd Ste 170, Saint Louis, MO 63141-6387 | 2016-10-16 |
| 1679961577 | Ssm Regional Health Services | Clinic/Center | 2505 Mission Dr Ste 130, Jefferson City, MO 65109-9508 | 2014-12-30 |
| 1407251069 | Missouri Cvs Pharmacy, L.L.C. | Clinic/Center | 942 Valley Creek Dr, Farmington, MO 63640-1968 | 2014-10-24 |
| 1154730414 | Mohammed Z Siddiqui Medical Consulting LLC | Clinic/Center | 10 Overbrook Dr, Saint Louis, MO 63124-1482 | 2014-08-11 |
| 1962818435 | Retired | Clinic/Center | 13714 N Sportsmans Dr, Hallsville, MO 65255-9330 | 2014-07-06 |
| 1043625460 | Kobler Chiropractic and Acupuncture LLC | Clinic/Center | 500 Nw Englewood Rd, Kansas City, MO 64118-3960 | 2014-06-24 |
| 1912349515 | Rheumatology Care, LLC | Clinic/Center | 745 Friedens Rd, Saint Charles, MO 63303-4235 | 2013-07-24 |
| Find all providers with the same taxonomy | ||||
| City | CAPE GIRARDEAU |
| Zip Code | 63701 |
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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.