Heartland Plastic & Hand Surgery LLC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

Legal business name

HEARTLAND PLASTIC & HAND SURGERY LLC

Practice address

319 S Silver Springs Rd
Ste C
Cape Girardeau, MO 63703-6311

Phone

(573) 334-4263

Fax

(573) 334-3699

NPI assigned

Oct 4, 2006

Last updated

Mar 23, 2015By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

David M Deisher, MDNPI 1619076361

Title

Managing Member

Phone

(573) 334-4263

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Locations

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• John Stewart Humphrey, MD

  • Plastic Surgery Physician
  • Cape Girardeau, MO
  • NPI 1467496646
  Medicare reassignment Care Compare group NPD
• Rebecca Suzanne Roe Thomasson, PA-C

  • Physician Assistant
  • Cape Girardeau, MO
  • NPI 1083090088
  Medicare reassignment Care Compare group
• David M Deisher, MD

  • Plastic Surgery Physician
  • Cape Girardeau, MO
  • NPI 1619076361
  Authorized official Same address or phone
• Michael J Harl, MD

  • Plastic Surgery Physician
  • Marshfield, WI
  • NPI 1396830030
  NPD (past)

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427068800000",
    "number": "1053406710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 S SILVER SPRINGS RD",
            "address_2": "STE C",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036311",
            "telephone_number": "573-334-4263",
            "fax_number": "573-334-3699"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 S SILVER SPRINGS RD",
            "address_2": "STE C",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637036311",
            "telephone_number": "573-334-4263",
            "fax_number": "573-334-3699"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PLASTIC & HAND SURGERY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-04",
        "last_updated": "2015-03-23",
        "status": "A",
        "authorized_official_last_name": "DEISHER",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "573-334-4263",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Plastic Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "507543601",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Joseph Derrick Hayes Jr., MD
• Leah Danielle Hayman, APRN, FNP-C
• Abby Brook Haynes
• Bradley Scott Hazel, APRN
• HCM Group, LLC
• Heartland Spine, LLC
• Heartland Weight Loss Clinic, LLC
• Heartland Womens Specialists PC
• Catherine Heaton, PHARMD
• Crystal Lynette Heck, ARNP

• Plastic Surgery Physician in Cape Girardeau, MO
• Providers in Cape Girardeau, MO by specialty
• Plastic Surgery Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.