Organization Active NPI

Heartland Spine, LLC

  • Neurological Surgery Physician
  • Cape Girardeau, MO
National Provider Identifier
1528215332
Registry record updated Jul 15, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
2006012799 Issued in MO
Legal business name
HEARTLAND SPINE, LLC
Practice address
3250 Gordonville Rd
Suite 450
Cape Girardeau, MO 63703-5056
Phone
(573) 837-9989
NPI assigned
Aug 22, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2009

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

Authorized official

Name
Franklin Hayward II, D.O.
Title
President
Phone
(573) 837-9989

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207T00000X 2006012799 MO Primary

Addresses

Primary practice location

3250 Gordonville Rd
Suite 450
Cape Girardeau, MO 63703-5056

Mailing address

3250 Gordonville Rd
Suite 450
Cape Girardeau, MO 63703-5056
Phone (573) 837-9989

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1219363200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1247616000000",
    "number": "1528215332",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3250 GORDONVILLE RD",
            "address_2": "SUITE 450",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035056",
            "telephone_number": "573-837-9989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3250 GORDONVILLE RD",
            "address_2": "SUITE 450",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637035056",
            "telephone_number": "573-837-9989"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND SPINE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-22",
        "last_updated": "2009-07-15",
        "status": "A",
        "authorized_official_last_name": "HAYWARD",
        "authorized_official_first_name": "FRANKLIN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-837-9989",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Neurological Surgery",
            "state": "MO",
            "license": "2006012799",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cape Girardeau, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 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.

Verify at the official NPI Registry.