NPIMap

Organization Active NPI

The Heart Group, PC

  • Clinical Medical Laboratory
  • Evansville, IN
National Provider Identifier
1083667927
Registry record updated Jun 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
License
200135 Issued in KY
Legal business name
THE HEART GROUP, PC
Practice address
415 W Columbia St
Evansville, IN 47710-1656
Phone
(812) 464-0521
Fax
(812) 464-0521
NPI assigned
May 19, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2008

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

Authorized official

Name
Dr. Richard A Wepsic, M.D.
Title
President
Phone
(812) 464-0521

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Medical Laboratory 291U00000X 200135 KY Primary

Addresses

Primary practice location

415 W Columbia St
Evansville, IN 47710-1656

Mailing address

1413 N Elm St
Henderson, KY 42420-2768
Phone (270) 826-6277

Other identifiers 3

IdentifierTypeStateIssuer
000000061910OtherANTHEM
3790382000MedicaidKY
100022660MedicaidIN

Other names 1

  • Henderson Lab and X-Ray Doing business as

National Provider Directory

National Provider Directory
Tax ID family
John McClellan7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1213833600000",
    "number": "1083667927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1413 N ELM ST",
            "city": "HENDERSON",
            "state": "KY",
            "postal_code": "424202768",
            "telephone_number": "270-826-6277",
            "fax_number": "270-827-8735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 W COLUMBIA ST",
            "city": "EVANSVILLE",
            "state": "IN",
            "postal_code": "477101656",
            "telephone_number": "812-464-0521",
            "fax_number": "812-464-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HEART GROUP, PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-19",
        "last_updated": "2008-06-19",
        "status": "A",
        "authorized_official_last_name": "WEPSIC",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "812-464-0521",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": "KY",
            "license": "200135",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000061910",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3790382000",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100022660",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Henderson Lab and X-Ray",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Evansville, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2008; 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.