Active NPI
Heartland Pathology Consultants, PC
- Anatomic Pathology Physician
- Edmond, OK
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anatomic Pathology Physician
- Legal business name
- HEARTLAND PATHOLOGY CONSULTANTS, PC
- Practice address
- 2701 Coltrane PL Ste 3
Edmond, OK 73034-6783 - Phone
- (405) 715-4500
- Fax
- (405) 715-4519
- NPI assigned
- Jul 4, 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
- Rosie J Cheadle
- Title
- Billing Supervisor
- Phone
- (405) 705-2644
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anatomic Pathology Physician | 207ZP0101X | Primary | ||
| Clinical Medical Laboratory | 291U00000X |
Addresses
Primary practice location
2701 Coltrane PL Ste 3
Edmond, OK 73034-6783
Mailing address
PO Box 26343
Oklahoma City, OK 73126-0343
Phone (405) 705-0018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100746640A | Medicaid | OK |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OK
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100729000634 | OK | Part B Supplier - Independent Clinical Laboratory | 6507999455 | Practice locations: Edmond, OK |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 37D0936596 | Heartland Pathology Consultants PC | Accreditation | Apr 28, 2028 |
National Provider Directory
National Provider DirectoryLocations
3509 French Park Dr
Ste D
Edmond, OK 73034
Phone (405) 705-2644
Ownership & related parties
Subparts reporting this organization as parent 1
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- General Practice Physician
- Edmond, OK
- NPI 1578714721
Practitioners & affiliated clinicians
Practitioners 3
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Anatomic Pathology & Clinical Pathology Physician
- Edmond, OK
- NPI 1780663906
-
- Anatomic Pathology & Clinical Pathology Physician
- Lawton, OK
- NPI 1922199611
-
- Anatomic Pathology Physician
- Edmond, OK
- NPI 1588685143
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1151971200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638921600000",
"number": "1447280474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 26343",
"city": "OKLAHOMA CITY",
"state": "OK",
"postal_code": "731260343",
"telephone_number": "405-705-0018",
"fax_number": "405-705-0029"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2701 COLTRANE PL STE 3",
"city": "EDMOND",
"state": "OK",
"postal_code": "730346783",
"telephone_number": "405-715-4500",
"fax_number": "405-715-4519"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND PATHOLOGY CONSULTANTS, PC",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-04",
"last_updated": "2021-12-08",
"certification_date": "2021-12-08",
"status": "A",
"authorized_official_last_name": "CHEADLE",
"authorized_official_first_name": "ROSIE",
"authorized_official_middle_name": "J",
"authorized_official_title_or_position": "BILLING SUPERVISOR",
"authorized_official_telephone_number": "405-705-2644"
},
"taxonomies": [
{
"code": "207ZP0101X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pathology, Anatomic Pathology",
"state": null,
"license": null,
"primary": true
},
{
"code": "291U00000X",
"taxonomy_group": "",
"desc": "Clinical Medical Laboratory",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100746640A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
- Healthcrest Surgical Management, LLC
- Dennis Heaney, PA-C
- Hearing Care by Dr. David Hough
- Heart & Vascular Specialist of Oklahoma PLLC
- Heartland Christian Counseling, Inc.
- Heartland Pathology Consultants, PCS
- Hearts of Hope LLC
- Heartsworth Senior Living, LLC
- Ashley Hebert, ARNP, CPNP-PC
- Hannah P Hedges
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.