HEARTLAND REGIONAL MEDICAL CENTER (NPI# 1881859627) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1881859627 |
Entity Type | Organization |
Organization Name | HEARTLAND REGIONAL MEDICAL CENTER |
Other Organization Name | MOSAIC LIFE CARE AT ST JOSEPH |
Practice Address |
802 N Riverside Rd Ste 150 Saint Joseph MO 64507-2502 |
Mailing Address |
5325 Faraon St Saint Joseph MO 64506-3488 |
Practice Telephone | 8162714025 |
Mailing Telephone | 8162716000 |
Mailing Fax Number | 8162717678 |
Enumeration Date | 2008-07-22 |
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 |
---|---|---|---|---|---|
Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
MO | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MO | 508279908 | 05 | |
KS | 100099580 | 05 |
Other Name | Type Code |
---|---|
Mosaic Life Care at St Joseph | 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 |
1063677961 | Heartland Regional Medical Center | Radiologic Technologist | 6301 N Lucerne Ave, 8880 Ne 82nd Terrace, Kansas City, Mo 64158, Kansas City, MO 64151-3105 | 2008-07-21 |
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 |
802 N RIVERSIDE RD STE 150 |
City | SAINT JOSEPH |
State | MO |
Zip Code | 64507-2502 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235116625 | William A. Dodson | Physical Medicine & Rehabilitation | 802 N Riverside Rd, Suite 150, Saint Joseph, MO 64507-9794 | 2005-12-27 |
1972968428 | Denise Dawkins | Nurse Practitioner | 802 N Riverside Rd, Ste. 210, Saint Joseph, MO 64507-2502 | 2015-12-29 |
1467839845 | Nicole O'hare | Nurse Practitioner | 802 N Riverside Rd, Ste. 210, Saint Joseph, MO 64507-2502 | 2015-05-05 |
1528333184 | Tracy Lynn Howery | Nurse Practitioner | 802 N Riverside Rd, Ste. 130, Saint Joseph, MO 64507-2502 | 2012-03-15 |
1174830103 | Catherine Ann Partamian | Psychologist | 802 N Riverside Rd, Suite 315, Saint Joseph, MO 64507-2502 | 2010-09-13 |
1417154063 | Emily Claire Larson | Internal Medicine | 802 N Riverside Rd, Suite 140, Saint Joseph, MO 64507-2502 | 2007-06-28 |
1598887408 | Eric G Sollars, Md | Specialist | 802 N Riverside Rd, Suite 330, Saint Joseph, MO 64507-9794 | 2007-04-04 |
1457441339 | Timothy C. Hodges | Surgery | 802 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-9794 | 2006-10-13 |
1932299732 | Matthew L Lukens | Surgery | 802 N Riverside Rd, Suite 200, Saint Joseph, MO 64507-9794 | 2006-10-13 |
1841382744 | Eric G Sollars | Specialist | 802 N Riverside Rd, Suite 330, Saint Joseph, MO 64507-9794 | 2006-09-28 |
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 | 2085R0202X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Radiology |
Specialization | Diagnostic Radiology |
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
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 Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1891119913 | Scott Rossow, Do, PC | Radiology | 2209 Ashland Ave, Saint Joseph, MO 64506-1932 | 2014-02-10 |
1144599143 | Robert Lackamp, Md, PC | Radiology | 606 N Leonard Rd, Saint Joseph, MO 64506-4025 | 2011-12-20 |
1710947908 | Advanced Diagnostic Imaging LLC | Radiology | 3620 Frederick Ave, Saint Joseph, MO 64506-3047 | 2006-03-23 |
1023087616 | Mobile Medical Services Inc | Radiology | 3622 Charles St, Saint Joseph, MO 64506-3424 | 2006-03-16 |
1851398713 | Kenneth E Mann | Radiology | 3937 Sherman Ave, Saint Joseph, MO 64506-3649 | 2005-07-06 |
1265775910 | American Diagnostic Imaging Inc | Radiology | 3937 Sherman Ave, Saint Joseph, MO 64506-3649 | 2013-04-01 |
1437493376 | American Diagnostic Imaging LLC | Radiology | 3937 Sherman Ave, Saint Joseph, MO 64506-3649 | 2012-11-15 |
1811120280 | Mann Radiology PC | Radiology | 3937 Sherman Ave, Saint Joseph, MO 64506-3649 | 2009-09-01 |
1679711014 | East Ridge Investments LLC | Radiology | 3937 Sherman Ave, Suite B, Saint Joseph, MO 64506-3649 | 2009-01-22 |
1215973409 | Denis Laurel Gibbs | Radiology | 1234 Napier Ave, Saint Joseph, MI 49085-2112 | 2006-06-22 |
Find all providers in SAINT JOSEPH |
City | SAINT JOSEPH |
Zip Code | 64507 |
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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.