Heart Health of Southeast Missouri

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

R1K93 Issued in MO

Legal business name

HEART HEALTH OF SOUTHEAST MISSOURI

Practice address

201 Floyd St
Kennett, MO 63857-2450

Phone

(573) 888-4226

Fax

(573) 888-4221

NPI assigned

Aug 26, 2009

Organization subpart

No

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

Authorized official

Name

Dr. Dave K Jain, D.O.

Title

Owner

Phone

(573) 888-4226

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1251244800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1251244800000",
    "number": "1235362112",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 FLOYD ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572450",
            "telephone_number": "573-888-4226",
            "fax_number": "573-888-4221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 FLOYD ST",
            "city": "KENNETT",
            "state": "MO",
            "postal_code": "638572450",
            "telephone_number": "573-888-4226",
            "fax_number": "573-888-4221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEART HEALTH OF SOUTHEAST MISSOURI",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-08-26",
        "last_updated": "2009-08-26",
        "status": "A",
        "authorized_official_last_name": "JAIN",
        "authorized_official_first_name": "DAVE",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-888-4226",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MO",
            "license": "R1K93",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Francine Yvonne Hawkins
• Jessica Dionne Hawkins
• Sonia Dias Hayes
• Raye Lynn Haywood, MSP,CCC-SLP
• Healthcare for Women, Inc.
• Sarah Henderson
• Madison Grace Henfling
• Nathan Henfling
• Michael Douglas Henley Jr., LMSW
• Carolyn Herbert

• Cardiovascular Disease Physician in Kennett, MO
• Providers in Kennett, MO by specialty
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 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.