Organization Active NPI

Heartland Travel Health Services LLC

  • Health Maintenance Organization
  • Oklahoma City, OK
National Provider Identifier
1013277979
Registry record updated Jul 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Maintenance OrganizationTaxonomy code 302R00000X
License
28286 Issued in OK
Legal business name
HEARTLAND TRAVEL HEALTH SERVICES LLC
Practice address
3545 NW 58TH St
Suit 340
Oklahoma City, OK 73112-4726
Phone
(888) 528-9521
Fax
(888) 521-6702
NPI assigned
May 24, 2012
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Dr. Bret Rice Haymore, M.D
Title
Medical Director
Phone
(405) 563-8961

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

National Provider Directory

Locations

14033 N Eastern Ave
Ste A
Edmond, OK 73013
Phone (405) 478-1507

3330 NW 56th St
Ste 106
Oklahoma City, OK 73112
Phone (405) 563-8961

3545 NW 58th St
Ste 340
Oklahoma City, OK 73112
Phone (888) 528-9521

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Health Maintenance Organization 302R00000X 28286 OK Primary

Addresses

NPPES NPI Registry

Primary practice location

3545 NW 58TH St
Suit 340
Oklahoma City, OK 73112-4726

Mailing address

3545 NW 58TH St
Suit 340
Oklahoma City, OK 73112-4726
Phone (888) 528-9521

Other names 1

NPPES NPI Registry
  • Passport Health of Oklahoma Doing business as

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 23, 2012.

{
    "created_epoch": "1337817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343001600000",
    "number": "1013277979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3545 NW 58TH ST",
            "address_2": "SUIT 340",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124726",
            "telephone_number": "888-528-9521",
            "fax_number": "888-521-6702"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3545 NW 58TH ST",
            "address_2": "SUIT 340",
            "city": "OKLAHOMA CITY",
            "state": "OK",
            "postal_code": "731124726",
            "telephone_number": "888-528-9521",
            "fax_number": "888-521-6702"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND TRAVEL HEALTH SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-24",
        "last_updated": "2012-07-23",
        "status": "A",
        "authorized_official_last_name": "HAYMORE",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "RICE",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "405-563-8961",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D"
    },
    "taxonomies": [
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "OK",
            "license": "28286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Passport Health of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oklahoma City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.