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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
OK | 200300250A | 05 |
Street Address |
444 FOUR STATES DR SUITE 1 |
City | GALENA |
State | KS |
Zip Code | 66739-4324 |
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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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 |
Find all providers in zip 66739 |
Taxonomy Code | 208VP0014X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Pain Medicine |
Specialization | Interventional Pain Medicine |
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. |
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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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.