Heartland Surgery, PA

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

HEARTLAND SURGERY, PA

Practice address

1431 S Bluffview Dr
Ste #209
Wichita, KS 67218-3039

Phone

(316) 683-3600

Fax

(316) 683-3635

NPI assigned

Aug 28, 2007

Organization subpart

No

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

Authorized official

Name

Chivukula Subbarao, MD

Title

Owner

Phone

(316) 683-3600

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1188259200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188259200000",
    "number": "1215121744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 S BLUFFVIEW DR",
            "address_2": "STE #209",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-683-3600",
            "fax_number": "316-683-3635"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 S BLUFFVIEW DR",
            "address_2": "STE #209",
            "city": "WICHITA",
            "state": "KS",
            "postal_code": "672183039",
            "telephone_number": "316-683-3600",
            "fax_number": "316-683-3635"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SURGERY, PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-28",
        "last_updated": "2007-08-28",
        "status": "A",
        "authorized_official_last_name": "SUBBARAO",
        "authorized_official_first_name": "CHIVUKULA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "316-683-3600",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF KS",
            "identifier": "110926",
            "state": "KS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland Pathology Diagnostics, LLC
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• Heartland Pulmonary and Sleep Medicine, LLC
• Heartland Research Associates, LLC
• Heartland Therapy Center, LLC
• Heartland Therapy Solutions LLC
• Heartland Women'S Group at Wesley LLC
• Heartland Women'S Health, PA
• Hearts & Hope

• Vascular Surgery Physician in Wichita, KS
• Providers in Wichita, KS by specialty
• Vascular Surgery Physician in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2007; 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.