Active NPI
Heartland Orthopedic Specialists
- Orthopaedic Surgery Physician
- Alexandria, MN
National Provider Identifier
1295835247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- Legal business name
- HEARTLAND ORTHOPEDIC SPECIALISTS
- Practice address
- 111 17TH Ave E
Suite 101
Alexandria, MN 56308-3703 - Phone
- (320) 762-1144
- Fax
- (320) 762-1935
- NPI assigned
- Sep 22, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. Michael S Doyle
- Title
- Administrator
- Phone
- (320) 762-1144
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | Primary | ||
| Foot & Ankle Surgery Podiatrist | 213ES0103X | |||
| Physical Therapist | 225100000X | |||
| Athletic Trainer | 2255A2300X | |||
| Physician Assistant | 363A00000X | |||
| Nurse Practitioner | 363L00000X |
Addresses
Primary practice location
111 17TH Ave E
Suite 101
Alexandria, MN 56308-3703
Mailing address
111 17TH Ave E
Suite 101
Alexandria, MN 56308-3734
Phone (320) 762-1144
Other identifiers 6
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 564 | Other | MN | LICENSE |
| 30701054 | Other | PRIMEWEST | |
| 104667 | Other | UCARE | |
| 888210000 | Medicaid | MN | |
| 61006AL | Other | BC/BS | |
| CP4310 | Other | MN | TRAVELERS MEDICARE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Orthopaedic Surgery Physician
- Wabasha, MN
- NPI 1174727093
Orthopaedic Surgery
-
- Orthopaedic Surgery Physician
- Alexandria, MN
- NPI 1265408223
Orthopaedic Surgery
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158883200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1296086400000",
"number": "1295835247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 17TH AVE E",
"address_2": "SUITE 101",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083734",
"telephone_number": "320-762-1144",
"fax_number": "320-762-1935"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 17TH AVE E",
"address_2": "SUITE 101",
"city": "ALEXANDRIA",
"state": "MN",
"postal_code": "563083703",
"telephone_number": "320-762-1144",
"fax_number": "320-762-1935"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND ORTHOPEDIC SPECIALISTS",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-22",
"last_updated": "2011-01-27",
"status": "A",
"authorized_official_last_name": "DOYLE",
"authorized_official_first_name": "MICHAEL",
"authorized_official_middle_name": "S",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "320-762-1144",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Orthopaedic Surgery",
"state": null,
"license": null,
"primary": true
},
{
"code": "213ES0103X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": null,
"license": null,
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": false
},
{
"code": "363L00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Nurse Practitioner",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "564",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PRIMEWEST",
"identifier": "30701054",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UCARE",
"identifier": "104667",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "888210000",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BC/BS",
"identifier": "61006AL",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRAVELERS MEDICARE",
"identifier": "CP4310",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Alexandria, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 27, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.