Active NPI
Heartland Radiology, Inc.
- Diagnostic Radiology Physician
- Poplar Bluff, MO
National Provider Identifier
1326025412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- Legal business name
- HEARTLAND RADIOLOGY, INC.
- Practice address
- 221 Physicians Park
Poplar Bluff, MO 63901-3956 - Phone
- (573) 727-9080
- NPI assigned
- Dec 29, 2005
- 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
- Dr. Donna L. Almond
- Title
- President
- Phone
- (573) 222-7441
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | Primary |
Addresses
Primary practice location
221 Physicians Park
Poplar Bluff, MO 63901-3956
Mailing address
PO Box 459
Poplar Bluff, MO 63902-0459
Phone (573) 222-7441
Other identifiers 8
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 142630002 | Medicaid | AR | |
| 222143 | Other | HEALTHLINK INC. | |
| 241702646 | Medicaid | MO | |
| DO3729 | Other | MO | RAILROAD MEDICARE |
| 130569 | Other | MO | BCBS |
| 1600702 | Other | UNITED HEALTHCARE | |
| 655009 | Other | FIRST HEALTH | |
| CH4567 | Other | MO | RAILROAD MEDICARE |
National Provider Directory
National Provider DirectoryLocations
1125 Three Rivers Blvd
Ste 4
Poplar Bluff, MO 63901
Phone (573) 222-7441
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Diagnostic Radiology Physician
- Jefferson City, MO
- NPI 1649378597
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1135814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1252454400000",
"number": "1326025412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 459",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639020459",
"telephone_number": "573-222-7441",
"fax_number": "573-222-7441"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "221 PHYSICIANS PARK",
"city": "POPLAR BLUFF",
"state": "MO",
"postal_code": "639013956",
"telephone_number": "573-727-9080"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND RADIOLOGY, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2005-12-29",
"last_updated": "2009-09-09",
"status": "A",
"authorized_official_last_name": "ALMOND",
"authorized_official_first_name": "DONNA",
"authorized_official_middle_name": "L.",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-222-7441",
"authorized_official_name_prefix": "Dr."
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Diagnostic Radiology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "142630002",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "HEALTHLINK INC.",
"identifier": "222143",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "241702646",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "DO3729",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "130569",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "1600702",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST HEALTH",
"identifier": "655009",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "CH4567",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Poplar Bluff, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 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.