NPIMap

Organization Active NPI

Heartland Anesthesia Consultant, P.S

  • Anesthesiology Physician
  • Elizabethtown, KY
National Provider Identifier
1093022774
Registry record updated Sep 2, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
Legal business name
HEARTLAND ANESTHESIA CONSULTANT, P.S
Practice address
639 North Mulberry Street
Elizabethtown, KY 42701-1931
Phone
(270) 737-4600
Fax
(270) 737-1722
NPI assigned
Sep 2, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2010

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

Authorized official

Name
Sandy Spalding
Title
Office Manager
Phone
(270) 737-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207L00000X KY Primary
Certified Registered Nurse AnesthetistGroup: 193200000X MULTI-SPECIALTY GROUP 367500000X KY

Addresses

Primary practice location

639 North Mulberry Street
Elizabethtown, KY 42701-1931

Mailing address

639 North Mulberry Street
Elizabethtown, KY 42701-1931
Phone (270) 737-4600

Other identifiers 2

IdentifierTypeStateIssuer
65925968MedicaidKY
74900242MedicaidKY

National Provider Directory

National Provider Directory
Tax ID family
Heartland Anesthesia Consultant PS4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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": "1283385600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1283385600000",
    "number": "1093022774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "639 NORTH MULBERRY STREET",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011931",
            "telephone_number": "270-737-4600",
            "fax_number": "270-737-1722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "639 NORTH MULBERRY STREET",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427011931",
            "telephone_number": "270-737-4600",
            "fax_number": "270-737-1722"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ANESTHESIA CONSULTANT, P.S",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-09-02",
        "last_updated": "2010-09-02",
        "status": "A",
        "authorized_official_last_name": "SPALDING",
        "authorized_official_first_name": "SANDY",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "270-737-4600"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": null,
            "primary": true
        },
        {
            "code": "367500000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KY",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65925968",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "74900242",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Elizabethtown, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 2, 2010; 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.