Heartland Rural Healthcare, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

36-059507 Issued in IL

Legal business name

HEARTLAND RURAL HEALTHCARE, LLC

Practice address

3331 W Deyoung St
Suite 207
Marion, IL 62959-5896

Phone

(618) 985-9140

NPI assigned

Dec 14, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Tom Keim

Title

Assistant Ceo

Phone

(618) 998-7019

Specialties & licenses 1

Addresses

Locations

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kevin B Claffey, M.D.

  • Surgery Physician
  • Mount Vernon, IL
  • NPI 1144226085
  NPD (past)
• Margret De Jesus De Guzman, M.D.

  • Surgery Physician
  • Red Bud, IL
  • NPI 1477852028
  NPD (past)
• Kristen James, M.D.

  • Obstetrics & Gynecology Physician
  • Glen Carbon, IL
  • NPI 1770977100
  NPD (past)
• Stacey A Leithliter, PA

  • Physician Assistant
  • Murphysboro, IL
  • NPI 1437208410
  NPD (past)
• Amar Nath Mukerji, MD, MS

  • Colon & Rectal Surgery Physician
  • Marion, IL
  • NPI 1750624045
  NPD (past)
• Justin L Northcutt, PA-C

  • Physician Assistant
  • Mount Vernon, IL
  • NPI 1194351668
  NPD (past)
• Lindsey Sollers

  • Nurse Practitioner
  • Marion, IL
  • NPI 1124797535
  NPD (past)
• Billie Vincent, ANP-BC

  • Adult Health Nurse Practitioner
  • Bethalto, IL
  • NPI 1639508039
  NPD (past)
• Shanna Witges, APRN NP-C

  • Nurse Practitioner
  • Waterloo, IL
  • NPI 1376882647
  NPD (past)
• Mary Ann Browning, PA-C

  • Physician Assistant
  • Baytown, TX
  • NPI 1477615649
  NPD (past)

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

{
    "created_epoch": "1166054400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1316009582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 504392",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631500001",
            "telephone_number": "618-985-9140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3331 W DEYOUNG ST",
            "address_2": "SUITE 207",
            "city": "MARION",
            "state": "IL",
            "postal_code": "629595896",
            "telephone_number": "618-985-9140"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND RURAL HEALTHCARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-14",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KEIM",
        "authorized_official_first_name": "TOM",
        "authorized_official_title_or_position": "ASSISTANT CEO",
        "authorized_official_telephone_number": "618-998-7019"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "IL",
            "license": "36-059507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Plan of Southern Illinois, Inc. (Marion Rural Health Clinic)
• Healthdirect Institutional Pharmacy Services, Inc. (Healthdirect Institutional Pharmacy Services, Inc. #128)
• Heartland Balance and Hearing Center SC
• Heartland Pediatric Clinic
• Heartland Rural Healthcare, LLC
• Heartland Spine, LLC
• Heartland Surgery LLC
• Heartland Women's Healthcare LTD
• Heartland Women's Healthcare LTD
• Shylah Nicolle Heath, LPN

• Family Medicine Physician in Marion, IL
• Providers in Marion, IL by specialty
• Family Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.