HEARTLAND SPINE, LLC (NPI# 1528215332) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528215332 |
Entity Type | Organization |
Organization Name | HEARTLAND SPINE, LLC |
Practice Address |
3250 Gordonville Rd Suite 450 Cape Girardeau MO 63703-5056 |
Practice Telephone | 5738379989 |
Mailing Telephone | 5738379989 |
Enumeration Date | 2008-08-22 |
Last Update Date | 2009-07-15 |
Authorized Official Name | FRANKLIN HAYWARD II (PRESIDENT) |
Authorized Official Telephone | 5738379989 |
Authorized Official Credential | D.O. |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207T00000X | Neurological Surgery | 2006012799 | MO | Allopathic & Osteopathic Physicians |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1144478330 | Heartland Spine, LLC | Neurological Surgery | 3905 W Ernestine Dr, Marion, IL 62959-5800 | 2008-09-03 |
Entity Type | Entity Name | Entity Address |
---|---|---|
System for Award Management (SAM) Entities | HEARTLAND SPINE, LLC | 304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 |
Street Address |
3250 GORDONVILLE RD SUITE 450 |
City | CAPE GIRARDEAU |
State | MO |
Zip Code | 63703-5056 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1376537043 | Joseph Francis Mayo Jr. | Surgery | 3250 Gordonville Rd, Suite 358, Cape Girardeau, MO 63703-5056 | 2005-09-08 |
1952749988 | Brain and Neurospine Clinic of Missouri | Specialist | 3250 Gordonville Rd, Cape Girardeau, MO 63703-5056 | 2013-06-12 |
1942556089 | Jean Paula Diemer | Pediatrics | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2012-07-26 |
1083866388 | Fatima Judith Pais | Physician Assistant | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-10-17 |
1770740516 | Brandon James Scott | Neurological Surgery | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-05-20 |
1639393275 | Lorelei Leible | Nurse Practitioner | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2007-04-13 |
1265552442 | Kimberly C Phillips | Nurse Practitioner | 3250 Gordonville Rd, Suite 301, Cape Girardeau, MO 63703-5056 | 2007-03-30 |
1023147576 | Craig Clippard | Pharmacist | 3250 Gordonville Rd, Suite 101, Cape Girardeau, MO 63703-5056 | 2007-03-02 |
1467580969 | Shandy Renee Scholl | Pharmacist | 3250 Gordonville Rd, Suite 101, Cape Girardeau, MO 63703-5056 | 2007-02-28 |
1609903509 | Sarah Jane Mirgaux | Pharmacist | 3250 Gordonville Rd, Ste. 101, Cape Girardeau, MO 63703-5056 | 2007-02-27 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720566102 | Christian Torres Diaz | Dentist | 3070 William Street, Cape Girardeau, MO 63703 | 2018-07-30 |
1457758153 | Broadway Ltc, LLC | Pharmacy | 37 Doctors Park Ste 7, Cape Girardeau, MO 63703 | 2014-11-24 |
1336562263 | Rachel Speer | Community Health Worker | 20 South Sprigg St, Cape Girardeau, MO 63703 | 2014-01-29 |
1245653120 | Mary Wilburn | Community Health Worker | 20 S Spigg, Cape Girardeau, MO 63703 | 2014-01-28 |
1831523695 | Saint Francis Medical Center | General Acute Care Hospital | 150 South Mount Auburn Road, Suite 342, Cape Girardeau, MO 63703 | 2013-08-29 |
1033481163 | J K Essmyer Medical Services LLC | Clinic/Center | 300 Mt Auburn Rd, Auburn Surgery Center, Inc, Cape Girardeau, MO 63703 | 2012-02-06 |
1477867844 | Drx - East Missouri Providers, P.C. | Family Medicine | 465 S Mount Auburn Road, Suite 103, Cape Girardeau, MO 63703 | 2010-07-28 |
1346564879 | Richard William Tobey | Family Medicine | 3250 Gordonville Rd Ste 301, Cape Girardeau, MO 63703 | 2010-03-26 |
1144413568 | Stephanie Danette Miller | Family Medicine | 817 S. Mount Auburn, Suite 100, Southeast Primary Care, Cape Gerardeau, MO 63703 | 2007-08-20 |
1437349305 | Shanaree Mae Muzinich | Radiology | 70 Doctor's Park, Cape Girardeau, MO 63703 | 2007-07-27 |
Find all providers in zip 63703 |
Taxonomy Code | 207T00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Neurological Surgery |
A neurological surgeon provides the operative and non-operative management (i.e., prevention, diagnosis, evaluation, treatment, critical care, and rehabilitation) of disorders of the central, peripheral, and autonomic nervous systems, including their supporting structures and vascular supply; the evaluation and treatment of pathological processes which modify function or activity of the nervous system; and the operative and non-operative management of pain. A neurological surgeon treats patients with disorders of the nervous system; disorders of the brain, meninges, skull, and their blood supply, including the extracranial carotid and vertebral arteries; disorders of the pituitary gland; disorders of the spinal cord, meninges, and vertebral column, including those which may require treatment by spinal fusion or instrumentation; and disorders of the cranial and spinal nerves throughout their distribution. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added] Additional Resources: American Board of Neurological Surgery, 2007. http://www.abns.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Neurological Surgery. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053533919 | Sonjay Joseph Fonn | Neurological Surgery | 65 Doctors Park Ste A, Cape Girardeau, MO 63703-4927 | 2007-05-02 |
1992753289 | Regional Brain & Spine LLC | Neurological Surgery | 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 | 2006-05-05 |
1689011777 | Donald Thomas Schleicher II | Neurological Surgery | 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 | 2013-05-29 |
1992940407 | Midwest Neurosurgeons LLC | Neurological Surgery | 65 Doctors Park Ste A, Cape Girardeau, MO 63703-4927 | 2008-12-12 |
1770740516 | Brandon James Scott | Neurological Surgery | 3250 Gordonville Rd, Suite 450, Cape Girardeau, MO 63703-5056 | 2008-05-20 |
1063699833 | Kaywan Dinyar Gamadia | Neurological Surgery | 150 S Mount Auburn Rd, Suite 342, Cape Girardeau, MO 63703-4911 | 2008-01-23 |
1215062518 | Kyle Oaks Colle | Neurological Surgery | 1723 Broadway St, Suite 410, Cape Girardeau, MO 63701-4566 | 2007-02-23 |
1376586776 | Franklin Hayward II | Neurological Surgery | 304 S Mount Auburn Rd, Cape Girardeau, MO 63703-4920 | 2006-06-14 |
1689623811 | Kevin Alton Vaught | Neurological Surgery | 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 | 2006-05-06 |
1023067261 | Paul James Tolentino | Neurological Surgery | 1723 Broadway, Suite 410, Cape Girardeau, MO 63701 | 2006-05-06 |
Find all providers in CAPE GIRARDEAU |
City | CAPE GIRARDEAU |
Zip Code | 63703 |
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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.