MICHAEL L HEARNDON


Address: 444 Four States Dr, Suite 1, Galena, KS 66739-4324
Phone: 6207834441

MICHAEL L HEARNDON (NPI# 1972625853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1972625853
Entity Type Individual
Full Name MICHAEL L HEARNDON
Credential DO
Practice Address 444 Four States Dr
Suite 1
Galena
KS 66739-4324
Mailing Address Po Box 2546
Joplin
MO 64803-2546
Practice Telephone 6207834441
Practice Fax Number 6207834090
Mailing Telephone 6207834441
Mailing Fax Number 6207834090
Enumeration Date 2007-04-04
Last Update Date 2015-04-07
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
5654 OK Allopathic & Osteopathic Physicians
Y 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
534506 KS Allopathic & Osteopathic Physicians
N 208VP0014X Pain Medicine
Specialization: Interventional Pain Medicine
062351 GA Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
OK 200300250A 05

Office Location

Street Address 444 FOUR STATES DR
SUITE 1
City GALENA
State KS
Zip Code 66739-4324

Providers in the same location

NPI Name Taxonomy Address Enumeration
1861497117 Robert F Stringer Orthopaedic Surgery 444 Four States Dr, Suite 1, Galena, KS 66739-4324 2005-06-14
1255973228 Crystal L Ingle Physical Therapy Assistant 444 Four States Dr, Galena, KS 66739-4324 2019-10-11
1437523065 Diva Intra-operative Monitoring LLC Neurological Surgery 444 Four States Dr, Galena, KS 66739-4324 2015-11-19
1417333543 Danielle R Davidson Nurse Anesthetist, Certified Registered 444 Four States Dr, Suite 2, Galena, KS 66739-4324 2015-07-30
1609250083 Keanon Walker Nurse Anesthetist, Certified Registered 444 Four States Dr, Suite 2, Galena, KS 66739-4324 2015-07-15
1174913123 Joshua Sweet Physician Assistant 444 Four States Dr, Ste 1, Galena, KS 66739-4324 2015-01-29
1689081143 Jonathan Bryan Sperry Nurse Anesthetist, Certified Registered 444 Four States Dr, Suite 1, Galena, KS 66739-4324 2014-07-16
1982036299 Seth Elver Sewell Nurse Practitioner 444 Four States Dr, Ste 1, Galena, KS 66739-4324 2013-08-08
1922446681 James P Bales Physical Therapist 444 Four States Dr, Suite 1, Galena, KS 66739-4324 2013-06-04
1619233574 Paige A Dierks Physical Therapy Assistant 444 Four States Dr, Ste 1, Galena, KS 66739-4324 2012-04-04
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1396097317 City of Galena-kansas General Acute Care Hospital 1619 K 66, Galena, KS 66739 2012-10-15
1235262924 Jessica Dawn Kirk Nurse Practitioner 444 Four States Dr., Galena, KS 66739 2007-03-13
1407086051 Brent Wayne Mcbrien Physical Therapy Assistant 109 W Empire St, Galena, KS 66739-1013 2009-07-16
1801862719 252 Health Care Consultants Inc Skilled Nursing Facility 109 West Empire, Galena, KS 66739-1013 2006-02-28
1760094189 Midwest Respiratory Care Inc Durable Medical Equipment & Medical Supplies 609 S Main St, Galena, KS 66739-1221 2020-08-18
1558699017 Bazzano Clinic Pa Family Medicine 111 E 7th St, Galena, KS 66739-1229 2009-11-21
1063423150 Stephen J Bazzano Family Medicine 111 E 7th St, Galena, KS 66739-1229 2006-08-11
1649403999 Galena Usd499 Local Education Agency (LEA) 702 E 7th St, Galena, KS 66739-1704 2009-09-02
1609874387 Galena Nursing & Rehab, LLC Skilled Nursing Facility 1220 E 8th St, Galena, KS 66739-1865 2005-07-07
1174809933 Alisha N Kelly Speech-Language Pathologist 1220 E 8th St, Galena, KS 66739-1865 2011-10-25
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Taxonomy Information

Taxonomy Code 208VP0014X
Grouping Allopathic & Osteopathic Physicians
Classification Pain Medicine
Specialization Interventional Pain Medicine

Taxonomy Definition

Interventional Pain Medicine is the discipline of medicine devoted to the diagnosis and treatment of pain and related disorders principally with the application of interventional techniques in managing subacute, chronic, persistent, and intractable pain, independently or in conjunction with other modalities of treatment.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1558989277 Interventional Pain Group Pa Pain Medicine 712 1st Ter # 201, Lansing, KS 66043-1735 2020-07-09
1477068815 Non Narcotic Pain Management Clinic Pain Medicine 1100 Sw Wanamaker Rd Ste 205, Topeka, KS 66604-2678 2017-12-07
1740528637 Crimson Pain Management Pain Medicine 5701 W. 119th St Ste 102, Overland Park, KS 66209 2013-01-28
1760499883 The Pain Center of Kansas Pain Medicine 921 Sw 37th St, Suite E, Topeka, KS 66611-2391 2006-08-02
1043820343 St. Catherine Hospital Pain Medicine 401 E Spruce St, Garden City, KS 67846-5679 2020-08-03
1457998593 Ellsworth County Medical Center Pain Medicine 1604 Aylward Ave, Ellsworth, KS 67439-2541 2019-12-09
1306103932 Flint Hills Pain Management Pa Pain Medicine 1213 Hylton Heights Rd Ste 109, Manhattan, KS 66502-2812 2012-04-20
1710151873 Pain & Wellness Clinic, Inc Pain Medicine 10600 Quivira Rd, Suite 470, Overland Park, KS 66215-2309 2008-04-18
1285726323 Kansas Pain Specialists Pa Pain Medicine 8080 E Central, Suite 250, Wichita, KS 67206-2361 2006-09-28
1225063845 Roger Patrick Misasi Pain Medicine 4901 College Blvd, Leawood, KS 66211 2006-07-12
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Competitor

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City GALENA
Zip Code 66739

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Dataset Information

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.

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