HEARTLAND PEDIATRICS LLC (NPI# 1437781010) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437781010 |
| Entity Type | Organization |
| Organization Name | HEARTLAND PEDIATRICS LLC |
| Practice Address |
13472 Vidalia Rd Pass Christian MS 39571-8300 |
| Practice Telephone | 2283440039 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Authorized Official Name | ERIN FAVRE BLANCHETTE (CPNP) |
| Authorized Official Telephone | 2283440039 |
| Authorized Official Credential | APRN, CPNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2300X |
Clinic/Center Specialization: Primary Care |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MS | 07334011 | 05 |
| Street Address |
13472 VIDALIA RD |
| City | PASS CHRISTIAN |
| State | MS |
| Zip Code | 39571-8300 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144403122 | Living Waters Community Medical Center Pllc | Specialist | 13472 Vidalia Rd, Pass Christian, MS 39571-8300 | 2007-12-12 |
| 1629394069 | Memorial Hospital At Gulfport | Orthopaedic Surgery | 13472 Vidalia Rd, Pass Christian, MS 39571-8300 | 2010-04-09 |
| 1629048376 | Frank Schiavi | Specialist | 13472 Vidalia Rd, Pass Christian, MS 39571-8300 | 2006-01-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629380142 | Hancock Medical Center | Nurse Practitioner | 517 C & D, W North Street, Pass Christian, MS 39571 | 2010-07-13 |
| 1184652737 | Sports Medicine Ltd | Physical Therapist | 17000 Kapalama Rd., Suite B., Pass Christian, MS 39571 | 2006-06-30 |
| 1306877501 | Mark Schmidt | Physical Therapist | 17000 Kapalama Rd., Suite, Pass Christian, MS 39571 | 2006-07-05 |
| 1013945666 | Chad M Newell | Physical Therapist | 17000 Kapalama Rd., Suite B, Pass Christian, MS 39571 | 2006-06-30 |
| 1407308638 | Colorful Minds, LLC | Behavioral Analyst | 102 Kelley Cv, Pass Christian, MS 39571-2226 | 2016-11-04 |
| 1952534976 | Jeanne Hannah Oliver | Speech-Language Pathologist | 614 Royal Oak Dr, Pass Christian, MS 39571-2228 | 2009-08-25 |
| 1700195047 | Hancock Medical Health Services, Inc. | Nurse Practitioner | 517 W North St Ste C&d, Pass Christian, MS 39571-2605 | 2010-10-05 |
| 1326376286 | Ina Rene Duplessis | Community Health Worker | 1583 E Second St, Pass Christian, MS 39571-3125 | 2009-12-03 |
| 1821654807 | Kristi Mong | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2019-05-14 |
| 1629601927 | Mind Works Therapy Pllc | Psychologist | 24505 Mare Point Dr, Pass Christian, MS 39571-3302 | 2020-02-15 |
| Find all providers in zip 39571 | ||||
| Taxonomy Code | 261QP2300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Primary Care |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477176824 | Crystalcare | Clinic/Center | 3124 N Shiloh Road, Corinth, MS 38834 | 2020-05-20 |
| 1134759780 | Family First Clinic of Hernando, Limited | Clinic/Center | 2416 Mount Pleasant Rd, Hernando, MS 38632-2001 | 2020-01-23 |
| 1720640899 | Home In The Woods Healthcare Clinic, LLC | Clinic/Center | 6572 County Road 514, Itta Bena, MS 38941-2746 | 2019-06-28 |
| 1366003436 | Blackwell's Family Medicine LLC | Clinic/Center | 107 Ball Ave, Tylertown, MS 39667-2101 | 2019-06-27 |
| 1710545488 | Primary and Behavioral Healthcare Services, Pa | Clinic/Center | 717 E. Fortification St., Jackson, MS 39202-2402 | 2019-05-29 |
| 1720559354 | Golden Years Geriatrics Inc. | Clinic/Center | 1233 County Road 108, New Albany, MS 38652-9787 | 2018-12-07 |
| 1316421373 | Children's International, LLC | Clinic/Center | 2003 Wildwood Rd, Picayune, MS 39466-2178 | 2018-09-17 |
| 1124505912 | Thaxton Family Medical Clinic LLC | Clinic/Center | 11145 Highway 6 W, Thaxton, MS 38871-9024 | 2018-07-24 |
| 1316439615 | Quad/med, LLC | Clinic/Center | 1000 Jere St. Pe' Hwy, C/o Ingalls Main Substation, 1st Floor, Pascagoula, MS 39567 | 2018-06-01 |
| 1194215681 | Brooks Medical Clinic | Clinic/Center | 2113 South Tate Street, Corinth, MS 38834 | 2018-05-10 |
| Find all providers with the same taxonomy | ||||
| City | PASS CHRISTIAN |
| Zip Code | 39571 |
Please comment or provide details below to improve the information on HEARTLAND PEDIATRICS LLC.
| 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.