Organization Active NPI

Heartland Surgical Specialty Hospital, LLC

Doing business as Heartland Spine & Specialty Primary Care

  • Family Medicine Physician
  • Overland Park, KS
National Provider Identifier
1174761191
Registry record updated Mar 11, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
HEARTLAND SURGICAL SPECIALTY HOSPITAL, LLC
Doing business as
Heartland Spine & Specialty Primary Care
Practice address
10720 Nall Ave
Overland Park, KS 66211-1206
Phone
(913) 754-5000
Fax
(913) 754-4560
NPI assigned
Jan 29, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2009

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

Authorized official

Name
Jeff Vanhorn
Title
Cfo
Phone
(913) 754-4502

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

10720 Nall Ave
Overland Park, KS 66211-1206

Mailing address

10720 Nall Ave
Overland Park, KS 66211-1206
Phone (913) 754-5000

Other names 1

  • Heartland Spine & Specialty Primary Care Doing business as

National Provider Directory

National Provider Directory

Locations

4801 College Blvd
Ste 100
Leawood, KS 66211
Phone (913) 956-2200

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1233187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1236729600000",
    "number": "1174761191",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10720 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111206",
            "telephone_number": "913-754-5000",
            "fax_number": "913-754-4560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10720 NALL AVE",
            "city": "OVERLAND PARK",
            "state": "KS",
            "postal_code": "662111206",
            "telephone_number": "913-754-5000",
            "fax_number": "913-754-4560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SURGICAL SPECIALTY HOSPITAL, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-29",
        "last_updated": "2009-03-11",
        "status": "A",
        "authorized_official_last_name": "VANHORN",
        "authorized_official_first_name": "JEFF",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "913-754-4502"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland Spine & Specialty Primary Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Overland Park, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2009; 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.