HEARTLAND REGIONAL MEDICAL CENTER (NPI# 1538200357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1538200357 |
| Entity Type | Organization |
| Organization Name | HEARTLAND REGIONAL MEDICAL CENTER |
| Other Organization Name | MOSAIC LIFE CARE |
| Practice Address |
5325 Faraon St Saint Joseph MO 64506-3488 |
| Practice Telephone | 8162716000 |
| Practice Fax Number | 8162716786 |
| Mailing Telephone | 8162716000 |
| Mailing Fax Number | 8162717173 |
| Enumeration Date | 2007-02-12 |
| Last Update Date | 2016-03-10 |
| Authorized Official Name | CINDY G PATTERSON (PROVIDER ENROLLMENT SPECIALIST) |
| Authorized Official Telephone | 8162717861 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207LP2900X |
Anesthesiology Specialization: Pain Medicine |
426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207RE0101X |
Internal Medicine Specialization: Endocrinology, Diabetes & Metabolism |
426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207RP1001X |
Internal Medicine Specialization: Pulmonary Disease |
426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207RR0500X |
Internal Medicine Specialization: Rheumatology |
426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207T00000X | Neurological Surgery | 426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207X00000X | Orthopaedic Surgery | 426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 207Y00000X | Otolaryngology | 426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 2086S0129X |
Surgery Specialization: Vascular Surgery |
426-10 | MO | Allopathic & Osteopathic Physicians |
| N | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 426-10 | MO | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 426-10 | MO | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KS | 100099580 | 05 | |
| MO | 508279908 | 05 |
| Other Name | Type Code |
|---|---|
| Mosaic Life Care | 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 |
5325 FARAON ST |
| City | SAINT JOSEPH |
| State | MO |
| Zip Code | 64506-3488 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548261795 | Brian J Robb | Emergency Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2005-08-09 |
| 1154943991 | Claire Christine Gregson | Registered Nurse | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-05-14 |
| 1982239349 | Kaylee Messner | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-03-05 |
| 1760016554 | Nicole Elizabeth Cordonnier | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2020-03-02 |
| 1689211609 | Beulah Joshua | Family Medicine | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-12-09 |
| 1003452889 | Kevin Baer | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-27 |
| 1265076269 | Kia Whetstine | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-11-01 |
| 1962052001 | Brynde Janea Thomas | Nurse Practitioner | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-09-19 |
| 1073171039 | Rodger Alan Oren | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| 1548828528 | Samantha Jo Shuey | Nurse Anesthetist, Certified Registered | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2019-06-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1669086609 | Phuc Vo | Pharmacist | 4022 N Belt Hyw, Saint Joseph, MO 64506 | 2020-09-08 |
| 1104450675 | Hughes Acupuncture LLC | Acupuncturist | 1918 North Belt Highway, St Joseph, MO 64506 | 2020-02-24 |
| 1306323316 | Camilla Allison Walling | Nurse Practitioner | 1009 West St. Maartens Drive Suite F, Saint Joseph, MO 64506 | 2018-07-23 |
| 1326559964 | Amber Wheatley Wood | Counselor | 724 N. 22nd Street, Saint Joseph, MO 64506 | 2017-10-23 |
| 1366952988 | Annette Burris | Audiologist | 2401 North Woodbine, St. Joseph, MO 64506 | 2017-10-10 |
| 1962927665 | Genuine Senior Care LLC | In Home Supportive Care | 3715 Beck Road, Suite 207b, St. Joseph, MO 64506 | 2017-08-03 |
| 1215396569 | Andrew M Fisher | Counselor | 2400 Frederick Blvd, Suite 407, Saint Joseph, MO 64506 | 2016-02-15 |
| 1699133678 | Missouri Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 3320 North Belt Highway, St Joseph, MO 64506 | 2016-02-04 |
| 1598167587 | Quality Hearing and Audiology Center LLC | Audiologist | 2227 North Belt Highway, St. Joseph, MO 64506 | 2014-09-22 |
| Find all providers in zip 64506 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720398563 | Bruce L Larva | General Practice | 3434 Celina Ave, Saint Joseph, MI 49085-3711 | 2010-10-14 |
| 1104003003 | Dennis Gray Greer | General Practice | 3401 Faraon St, Saint Joseph, MO 64506-5101 | 2008-01-23 |
| 1386809853 | Kyle M. Mcwhirter | General Practice | 5325 Faraon St, Saint Joseph, MO 64506-3488 | 2008-07-24 |
| 1376721159 | Frederick Vincent Covillo | General Practice | 3401 Faraon St, Saint Joseph, MO 64506-5101 | 2008-02-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790305654 | Remedy Health LLC | General Practice | 37 Doctors Park Ste 3, Cape Girardeau, MO 63703-4903 | 2020-04-21 |
| 1760001598 | Md Sarefin Zaman | General Practice | 2715 W 76 Country Blvd Ste 103, Branson, MO 65616-2344 | 2020-04-12 |
| 1437707551 | Home Docs Medical Associates, LLC | General Practice | 7584 Olive Blvd Ste 204, University City, MO 63130-1600 | 2019-09-02 |
| 1912462912 | Thomas George Brett | General Practice | 800 Missouri 248, Building 3 Suite A, Branson, MO 65616 | 2019-02-04 |
| 1295208403 | Sme Kentucky Psc | General Practice | 5728 Pergola Dr Apt 207, Columbia, MO 65201-2897 | 2019-01-10 |
| 1821579798 | Healthy Schools Missouri LLC | General Practice | 3675 S Noland Rd Ste 200, Independence, MO 64055-3369 | 2018-08-28 |
| 1902300825 | Landmark Medical of Missouri PC | General Practice | 312 Sw Greenwich Dr # 315, Lees Summit, MO 64082-4408 | 2018-03-23 |
| 1740784214 | Bridge Integrative Medicine LLC | General Practice | 305 Nw Englewood Ct Ste 200, Kansas City, MO 64118 | 2018-03-20 |
| 1093218224 | Andrew Jason Doppelt | General Practice | 200 E Southampton Dr Ste 104, Columbia, MO 65203-3032 | 2018-03-14 |
| 1114427606 | Khrystal Robinson | General Practice | 902 E Reed St, Hayti, MO 63851-1243 | 2018-02-20 |
| Find all providers with the same taxonomy | ||||
| City | SAINT JOSEPH |
| Zip Code | 64506 |
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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.