NPIMap

Organization Active NPI

Heartland Medical Associates, LLC

Doing business as Allergy & Asthma Care Centers of Oklahoma

  • Allergy & Immunology Physician
  • Midwest City, OK
National Provider Identifier
1417377474
Registry record updated Aug 11, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Allergy & Immunology PhysicianTaxonomy code 207K00000X
License
28286 Issued in OK
Legal business name
HEARTLAND MEDICAL ASSOCIATES, LLC
Doing business as
Allergy & Asthma Care Centers of Oklahoma
Practice address
8121 National Ave
Suite 309
Midwest City, OK 73110-7530
Phone
(405) 896-2268
NPI assigned
Apr 17, 2014
Last updated
Aug 11, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 11, 2014

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

Authorized official

Name
Dr. Bret Rice Haymore, MDNPI 1376503102
Title
Physician/Owner
Phone
(405) 628-3666

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Allergy & Immunology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207K00000X 28286 OK Primary

Addresses

Primary practice location

8121 National Ave
Suite 309
Midwest City, OK 73110-7530

Mailing address

3801 Four Winns Strait
Edmond, OK 73013-8743

Other names 1

  • Allergy & Asthma Care Centers of Oklahoma Doing business as

National Provider Directory

National Provider Directory

Locations

1621 S Eucalyptus Ave
Ste 205
Broken Arrow, OK 74012
Phone (405) 896-2268

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1397692800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1407715200000",
    "number": "1417377474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 FOUR WINNS STRAIT",
            "city": "EDMOND",
            "state": "OK",
            "postal_code": "730138743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8121 NATIONAL AVE",
            "address_2": "SUITE 309",
            "city": "MIDWEST CITY",
            "state": "OK",
            "postal_code": "731107530",
            "telephone_number": "405-896-2268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND MEDICAL ASSOCIATES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-04-17",
        "last_updated": "2014-08-11",
        "status": "A",
        "authorized_official_last_name": "HAYMORE",
        "authorized_official_first_name": "BRET",
        "authorized_official_middle_name": "RICE",
        "authorized_official_title_or_position": "PHYSICIAN/OWNER",
        "authorized_official_telephone_number": "405-628-3666",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Allergy & Immunology",
            "state": "OK",
            "license": "28286",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Allergy & Asthma Care Centers of Oklahoma",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Midwest City, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2014; 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.