Heartland Pediatrics of Lake Wales, P.a.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

Legal business name

HEARTLAND PEDIATRICS OF LAKE WALES, P.A.

Practice address

1356 State Road 60 E
Orange Grove Plaza
Lake Wales, FL 33853-4322

Phone

(863) 679-8888

Fax

(863) 676-2851

NPI assigned

Jul 22, 2006

Last updated

Aug 22, 2020By 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

Dr. Rajeswari Sonni, M.D.

Title

President Medical Director

Phone

(863) 679-8888

Specialties & licenses 1

Addresses

Tax ID family

Heartland Pediatrics of Lake Wales2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Heartland Pediatrics of Lake Wales, LLC

  • Pediatrics Physician
  • Lake Wales, FL
  • NPI 1104989680
  NPD tax ID

Locations

Practitioners 1

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.

• Stacy Testa, PA-C

  • Physician Assistant
  • Lake Wales, FL
  • NPI 1881014611
  NPD (past)

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1063433076",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1356 STATE ROAD 60 E",
            "address_2": "ORANGE GROVE PLAZA",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-679-8888",
            "fax_number": "863-676-2851"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1356 STATE ROAD 60 E",
            "address_2": "ORANGE GROVE PLAZA",
            "city": "LAKE WALES",
            "state": "FL",
            "postal_code": "338534322",
            "telephone_number": "863-679-8888",
            "fax_number": "863-676-2851"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PEDIATRICS OF LAKE WALES, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "SONNI",
        "authorized_official_first_name": "RAJESWARI",
        "authorized_official_title_or_position": "PRESIDENT  MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "863-679-8888",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Pediatrics",
            "state": "FL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Andrei Hastings, MD
• Leonard E Hawkins, PA-C
• Heart & Vascular PLC
• Heart to Heart Group , LLC
• Heartland Pediatrics of Lake Wales, LLC
• Heartnvascular
• Edward Helpling, CRNA
• Heraud Pediatrics LLC
• Liana Herisson, SLPA
• Arturo R. Hernandez Pena, M.D.

• Pediatrics Physician in Lake Wales, FL
• Providers in Lake Wales, FL by specialty
• Pediatrics Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.