Heartland Oncology & Hematology, PLLC

Primary specialty

Hematology & Oncology PhysicianTaxonomy code 207RH0003X

License

9701 Issued in IA

Legal business name

HEARTLAND ONCOLOGY & HEMATOLOGY, PLLC

Practice address

1 Edmundson PL
Suite 100
Council Bluffs, IA 51503-4658

Phone

(712) 322-4136

Fax

(712) 322-8129

NPI assigned

Jul 3, 2006

Last updated

Oct 6, 2015By 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

Penny A. Malcom

Title

Administrator

Phone

(712) 322-4136

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444089600000",
    "number": "1386674786",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PL",
            "address_2": "SUITE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034658",
            "telephone_number": "712-322-4136",
            "fax_number": "712-322-8129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 EDMUNDSON PL",
            "address_2": "SUITE 100",
            "city": "COUNCIL BLUFFS",
            "state": "IA",
            "postal_code": "515034658",
            "telephone_number": "712-322-4136",
            "fax_number": "712-322-8129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ONCOLOGY & HEMATOLOGY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-03",
        "last_updated": "2015-10-06",
        "status": "A",
        "authorized_official_last_name": "MALCOM",
        "authorized_official_first_name": "PENNY",
        "authorized_official_middle_name": "A.",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "712-322-4136"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "IA",
            "license": "9701",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "G9534",
            "state": "IA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0197939",
            "state": "IA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland Family Service
• Heartland Family Service
• Heartland Family Service
• Heartland Family Service
• Heartland Neurology PC
• Heartland Pediatrics P.C.
• Sean Patrick Hecht, RPH, PHARMD
• Megan L Hedberg, PHARMD
• Kelly A Heine, CRNA
• Martha Louise Heitman

• Hematology & Oncology Physician in Council Bluffs, IA
• Providers in Council Bluffs, IA by specialty
• Hematology & Oncology Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2015; 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.