Organization Active NPI

Heartland Qualitly Pain Management Professionals Inc

  • Pain Medicine Physician
  • Sebring, FL
National Provider Identifier
1538155619
Registry record updated Feb 23, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine PhysicianTaxonomy code 208VP0000X
License
ME64529 Issued in FL
Legal business name
HEARTLAND QUALITLY PAIN MANAGEMENT PROFESSIONALS INC
Practice address
4145 Sun N Lake Blvd
Ste B
Sebring, FL 33872-2131
Phone
(863) 402-5589
NPI assigned
Sep 23, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 23, 2011

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

Authorized official

Name
Nancy High, MDNPI 1841286119
Title
Partner
Phone
(863) 314-4466

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207LP2900X ME64529 FL
Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0000X ME64529 FL Primary
Interventional Pain Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 208VP0014X ME64529 FL

Addresses

Primary practice location

4145 Sun N Lake Blvd
Ste B
Sebring, FL 33872-2131

Mailing address

4519 George Rd
Ste 100
Tampa, FL 33634-7329
Phone (813) 496-1075

National Provider Directory

National Provider Directory

Locations

15 S Main Ave
Lake Placid, FL 33852
Phone (863) 699-5600

3704 Emergency Ln
Sebring, FL 33870

4145 Sun N Lake Blvd
#B
Sebring, FL 33872
Phone (863) 402-5589

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": "1127433600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1298419200000",
    "number": "1538155619",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4519 GEORGE RD",
            "address_2": "STE 100",
            "city": "TAMPA",
            "state": "FL",
            "postal_code": "336347329",
            "telephone_number": "813-496-1075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4145 SUN N LAKE BLVD",
            "address_2": "STE B",
            "city": "SEBRING",
            "state": "FL",
            "postal_code": "338722131",
            "telephone_number": "863-402-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND QUALITLY PAIN MANAGEMENT PROFESSIONALS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-23",
        "last_updated": "2011-02-23",
        "status": "A",
        "authorized_official_last_name": "HIGH",
        "authorized_official_first_name": "NANCY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "863-314-4466",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "FL",
            "license": "ME64529",
            "primary": false
        },
        {
            "code": "208VP0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "FL",
            "license": "ME64529",
            "primary": true
        },
        {
            "code": "208VP0014X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pain Medicine, Interventional Pain Medicine",
            "state": "FL",
            "license": "ME64529",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sebring, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2011; 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.