HEARTLAND SURGERY LLC (NPI# 1336172766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336172766 |
| Entity Type | Organization |
| Organization Name | HEARTLAND SURGERY LLC |
| Practice Address |
3402 Office Park Dr Marion IL 62959-6477 |
| Practice Telephone | 6189933221 |
| Mailing Telephone | 6189933221 |
| Enumeration Date | 2006-07-09 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | CLAY O. DEMATTEI (OWNER) |
| Authorized Official Telephone | 6189933221 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | IL | Allopathic & Osteopathic Physicians |
| Street Address |
3402 OFFICE PARK DR |
| City | MARION |
| State | IL |
| Zip Code | 62959-6477 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710513486 | Sarah Benitone | Counselor | 11264 Il-37, Marion, IL 62959 | 2020-03-13 |
| 1528609328 | Patricia E Murphy | Radiology | 4503 1/2 W Deyoung, Suite 3a, Marion, IL 62959 | 2019-10-02 |
| 1366007007 | Centerstone of Illinois, Inc | Community/Behavioral Health | 202 S Bentley St, Marion, IL 62959 | 2019-05-08 |
| 1649752064 | Sydney Seiter | Occupational Therapist | 906 Skyline Suite 100, Marion, IL 62959 | 2018-09-01 |
| 1497279848 | Brooke Alisa Osman | Licensed Practical Nurse | 11531 Sunderland Road, Marion, IL 62959 | 2017-07-27 |
| 1912436429 | Joy L. Kee | Social Worker | 509 South Bentley Street, Marion, IL 62959 | 2017-06-08 |
| 1386181170 | Susan Smothers | Counselor | 1305 West Main Street, Marion, IL 62959 | 2017-01-31 |
| 1205280922 | Harish Kempegowda | Orthopaedic Surgery | 3331 W Deyoung St Ste 201, Marion, IL 62959 | 2016-04-19 |
| 1942609227 | Casey Hill | Social Worker | 1604 W. Walnut St., Marion, IL 62959 | 2014-08-22 |
| 1306252812 | Justin M White | Chiropractor | 1603 W Kimmel, Marion, IL 62959 | 2014-07-03 |
| Find all providers in zip 62959 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477867711 | Hugh Victor Coleman | Surgery | 1002 Evans Rd, Marion, SC 29571-2208 | 2010-07-28 |
| 1467632448 | Baldwin Surgical Associates, P.C. | Surgery | 110 N Baldwin Ave, Marion, IN 46952-3536 | 2007-11-07 |
| 1184813115 | Southern Illinois Surgical Associates, PC | Surgery | 8333 Express Dr Ste D, Marion, IL 62959-6474 | 2007-10-16 |
| 1841374873 | Marie Jane Gorski | Surgery | 3331 W Deyoung St Ste 305, Marion, IL 62959 | 2006-10-25 |
| 1578654448 | Rodolfo Baura Ceballos | Surgery | 1122 Culbert Drive, Marion, VA 24354-4212 | 2006-09-27 |
| 1558373316 | Lyle W Bauman | Surgery | 1203 Snider St, Marion, VA 24354-4221 | 2006-08-12 |
| 1881621910 | Clay O. Demattei I | Surgery | 3402 Office Park Dr., Marion, IL 62959 | 2006-06-26 |
| 1477505444 | Aleksandr Sokolovsky | Surgery | 239 Park Blvd, Marion, VA 24354-4103 | 2006-05-17 |
| 1285682625 | Jeffrey Wayne Miller | Surgery | 330 N Wabash Ave Ste 370, Marion, IN 46952-2678 | 2006-05-05 |
| 1801880687 | William John Horan | Surgery | 460 Burma Rd W, Marion, NC 28752-5278 | 2005-09-07 |
| Find all providers in MARION | ||||
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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.