HEARTLAND REGIONAL MEDICAL CENTER (NPI# 1245390160) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245390160 |
| Entity Type | Organization |
| Organization Name | HEARTLAND REGIONAL MEDICAL CENTER |
| Other Organization Name | LAKESIDE PEDIATRICS |
| Practice Address |
902 N Riverside Rd Suite 100 Saint Joseph MO 64507-2559 |
| Mailing Address |
5325 Faraon St Saint Joseph MO 64506-3488 |
| Practice Telephone | 8162711351 |
| Practice Fax Number | 8162711355 |
| Mailing Telephone | 8162711351 |
| Mailing Fax Number | 8162711355 |
| Enumeration Date | 2006-12-11 |
| Last Update Date | 2015-06-30 |
| Authorized Official Name | JOHN WILSON (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8162716611 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | MD116083 | MO | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 540156809 | 05 |
| Other Name | Type Code |
|---|---|
| Lakeside Pediatrics | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942868963 | Heartland Regional Medical Center | Home Health | 2332 S Main St Ste A, Maryville, MO 64468-3622 | 2019-06-04 |
| 1023428281 | Heartland Regional Medical Center | Clinic/Center | 8860 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2014-04-28 |
| 1841385093 | Heartland Regional Medical Center | Rehabilitation Unit | 5325 Faraon, Saint Joseph, MO 64506-3398 | 2006-10-04 |
| 1649838665 | Heartland Regional Medical Center | Hospice Care, Community Based | 2332 S Main St Ste A, Maryville, MO 64468-3622 | 2019-06-04 |
| 1477920627 | Heartland Regional Medical Center | Home Health | 1607 E Us Highway 136, Albany, MO 64402-8223 | 2015-08-24 |
| 1396155636 | Heartland Regional Medical Center | Radiologic Technologist | 8880 Ne 82nd Ter, Kansas City, MO 64158-1313 | 2014-05-07 |
| 1770904393 | Heartland Regional Medical Center | Radiologic Technologist | 6301 N Lucerne Ave, Kansas City, MO 64151-3105 | 2013-12-27 |
| 1336491695 | Heartland Regional Medical Center | Clinic/Center | 6301 N Lucerne Ave, Kansas City, MO 64151-3105 | 2012-10-11 |
| 1053600106 | Heartland Regional Medical Center | Family Medicine | 4201 N Belt Hwy, Store 560, Saint Joseph, MO 64506-1299 | 2011-03-29 |
| 1881859627 | Heartland Regional Medical Center | Radiology | 802 N Riverside Rd, Ste 150, Saint Joseph, MO 64507-2502 | 2008-07-22 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | HEARTLAND REGIONAL MEDICAL CENTER | 3333 W Deyoung St, Marion, IL 62959-5884 |
| Iowa Business Entities | HEARTLAND REGIONAL MEDICAL CENTER | 5325 Faraon, St Joseph, MO 64506 |
| Street Address |
902 N RIVERSIDE RD SUITE 100 |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64507-2559 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447247218 | Bonnie K Goins | Radiology | 902 N Riverside Rd, #201, Saint Joseph, MO 64507-2559 | 2005-10-05 |
| 1902294796 | Latha Varghese | Nurse Practitioner | 902 N Riverside Rd, Ste. 200, Saint Joseph, MO 64507-2518 | 2014-12-31 |
| 1659700904 | Jamie L'heureux | Genetic Counselor, MS | 902 N Riverside Rd, Ste. 201, Saint Joseph, MO 64507-2518 | 2013-11-07 |
| 1548535198 | Lauren Ashley Short | Nurse Practitioner | 902 N Riverside Rd, Ste. 200, Saint Joseph, MO 64507-2518 | 2012-03-15 |
| 1255610606 | Sarah E Arnold | Nurse Practitioner | 902 N Riverside Rd, Ste. 100, Saint Joseph, MO 64507-2559 | 2011-08-16 |
| 1659698231 | Heartland Clinic Cancer Center St Joseph Oncology | Internal Medicine | 902 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-2559 | 2010-04-22 |
| 1578798393 | Gopichand Pendurti | Internal Medicine | 902 N Riverside Rd, Ste 200, Saint Joseph, MO 64507-2518 | 2009-05-22 |
| 1992939599 | Juliet Gyamfua Appiah | Internal Medicine | 902 N Riverside Rd, Ste 200, Saint Joseph, MO 64507-2518 | 2009-05-11 |
| 1154521813 | Satinderjit S Oberoi | Internal Medicine | 902 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-2559 | 2007-07-20 |
| 1043370984 | Laxmi Narayan Veligati | Specialist | 902 N Riverside Rd, Suite 100, Saint Joseph, MO 64507-2518 | 2006-12-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346644044 | Janaha Anderson | Dental Hygienist | 4073 Se Cunningham Rd, St. Joseph, MO 64507 | 2014-10-09 |
| 1518229772 | Andrew L Walker | Radiology | 902 N Riverside Rd Ste 201, Saint Joseph, MO 64507 | 2012-06-13 |
| 1619105731 | Pamela M. Lotz | Clinical Nurse Specialist | 902 No. Riverside Rd, Suite 200, St. Joseph, MO 64507 | 2009-06-26 |
| 1356300735 | St Joseph Oncology Inc | Internal Medicine | 902 No Riverside Rd, Suite 200, St Joseph, MO 64507 | 2006-03-22 |
| 1962478560 | Douglas Chyatte | Neurological Surgery | 802 N Riverside Rd Ste 120, Saint Joseph, MO 64507 | 2006-02-24 |
| 1073089546 | Chaz Caleb Johnson | Physical Therapist | 5506 Corporate Dr Ste 1800, Saint Joseph, MO 64507 | 2018-10-22 |
| 1295228344 | Julie Odonnell Phd LLC | Clinic/Center | 708 S Woodbine Rd Ste A, Saint Joseph, MO 64507 | 2018-06-13 |
| 1912369695 | Luke Nathan Prest | Pediatrics | 902 N Riverside Rd Ste 100, Saint Joseph, MO 64507 | 2016-03-22 |
| 1396007894 | Brian Wright Roe | Internal Medicine | 5514 Corporate Dr Ste 150, Saint Joseph, MO 64507 | 2012-06-11 |
| 1861873952 | Edison Derr II | Specialist/Technologist | 2214 Maple St, Saint Joseph, MO 64507-1413 | 2015-06-15 |
| Find all providers in zip 64507 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720441728 | Great Lakes Sports Medicine and Concussion Clinic | Specialist | 3906 Stonegate Park Ste A, Saint Joseph, MI 49085-9145 | 2016-03-29 |
| 1366714131 | Gary Steven Nadolski | Specialist | 44 Court Dr, Saint Joseph, MO 64506-4315 | 2012-02-08 |
| 1700041522 | Bernard E Libel | Specialist | 1105 S Belt Hwy, Saint Joseph, MO 64507-2224 | 2008-07-21 |
| 1598784050 | David Andrew Driscoll | Specialist | 2516 Niles Ave, Saint Joseph, MI 49085-1937 | 2006-07-18 |
| 1275584419 | St Joseph Neurology | Specialist | 105 Far West Dr, Ste 203, Saint Joseph, MO 64506-3500 | 2006-05-12 |
| 1700858180 | St. Joseph Family Medical Clinic, Inc. | Specialist | 2120 S Riverside Rd, Saint Joseph, MO 64507-2535 | 2006-02-01 |
| 1679570444 | Joel Phillip Karasek | Specialist | 3955 Sherman Ave, Saint Joseph, MO 64506-3649 | 2005-07-07 |
| 1013914241 | Samuel Ernest Logan | Specialist | 3901 Stonegate Park, Suite 300, Saint Joseph, MI 49085-9137 | 2005-07-01 |
| 1063416642 | Sutinderpal S. Judge | Specialist | 2550 Niles Rd, Saint Joseph, MI 49085 | 2005-06-10 |
| 1619155611 | Barrett and Driscoll,md's,pc | Specialist | 2516 Niles Ave, Saint Joseph, MI 49085-1937 | 2008-02-01 |
| Find all providers in SAINT JOSEPH | ||||
| City | SAINT JOSEPH |
| Zip Code | 64507 |
Please comment or provide details below to improve the information on HEARTLAND REGIONAL MEDICAL CENTER.
| 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.