Heartland Patient Care, PLLC

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

32313 Issued in KY

Legal business name

HEARTLAND PATIENT CARE, PLLC

Practice address

914 N Dixie Ave
Suite 302
Elizabethtown, KY 42701-2520

Phone

(270) 769-0892

Fax

(270) 769-1857

NPI assigned

May 8, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Ayaz Ahmed, MD.

Title

President

Phone

(270) 769-0040

Specialties & licenses 1

Addresses

Other identifiers 1

Practitioners 3

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

• Kimberly Cote, APRN

  • Family Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1669947735
  NPD
• Tanya F Revor, APRN-FNP

  • Family Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1700396959
  NPD
• Carrie A Westbrook

  • Family Nurse Practitioner
  • Elizabethtown, KY
  • NPI 1033817978
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1354233600000",
    "number": "1043423429",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1503 MANCHESTER DR",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017905",
            "telephone_number": "270-769-0040",
            "fax_number": "270-351-7506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "914 N DIXIE AVE",
            "address_2": "SUITE 302",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427012520",
            "telephone_number": "270-769-0892",
            "fax_number": "270-769-1857"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PATIENT CARE, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-08",
        "last_updated": "2012-11-30",
        "status": "A",
        "authorized_official_last_name": "AHMED",
        "authorized_official_first_name": "AYAZ",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-769-0040",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "KY",
            "license": "32313",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100217980",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland ENT & Allergy Center, P.S.C.
• Heartland Family Chiropractic, PLLC
• Heartland Internal Medicine PLLC.
• Heartland Orthopaedic Associates
• Heartland Pathology Consultants, PSC
• Heartland Whole Brain Learning-Pediatric & Adult Therapy LLC
• Heartland Woman'S Healthcare PLLC
• Brandy Heavrin, LPCC
• Robert J Heberly, RN/CSW
• Lance R Heffer, PSYD

• Internal Medicine Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Internal Medicine Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 30, 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.