Active NPI
Heartland Pathology Consultants, PCS
- General Practice Physician
- Edmond, OK
National Provider Identifier
1578714721
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Physician
- License
- 16447
- Legal business name
- HEARTLAND PATHOLOGY CONSULTANTS, PCS
- Practice address
- 3509 French Park Dr
Suite D
Edmond, OK 73034-7296 - Phone
- (405) 705-0018
- Fax
- (405) 705-0029
- NPI assigned
- Oct 7, 2008
- Last updated
- Oct 7, 2008
- Organization subpart
- Yes
- Parent organization
- HEARTLAND PATHOLOGY CONSULTANTS, PC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Rosie J Cheadle
- Title
- Billing Supervisor
- Phone
- (405) 705-0018
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Physician | 208D00000X | 16447 | OK | Primary |
Addresses
Primary practice location
3509 French Park Dr
Suite D
Edmond, OK 73034-7296
Mailing address
PO Box 26343
Oklahoma City, OK 73126-0343
Phone (405) 705-0018
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100746640A | Medicaid | OK |
National Provider Directory
National Provider Directory- Part of
- Heartland Pathology Con
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- Anatomic Pathology Physician
- Edmond, OK
- NPI 1447280474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1223337600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1223337600000",
"number": "1578714721",
"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": "3509 FRENCH PARK DR",
"address_2": "SUITE D",
"city": "EDMOND",
"state": "OK",
"postal_code": "730347296",
"telephone_number": "405-705-0018",
"fax_number": "405-705-0029"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND PATHOLOGY CONSULTANTS, PCS",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "HEARTLAND PATHOLOGY CONSULTANTS, PC",
"enumeration_date": "2008-10-07",
"last_updated": "2008-10-07",
"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": "405-705-0018",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "OK",
"license": "16447",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100746640A",
"state": "OK"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Edmond, OK
- Dennis Heaney, PA-C
- Hearing Care by Dr. David Hough
- Heart & Vascular Specialist of Oklahoma PLLC
- Heartland Christian Counseling, Inc. (Catherine Mosier)
- Heartland Pathology Consultants, PC
- Hearts of Hope LLC
- Heartsworth Senior Living, LLC (Heartsworth House)
- Ashley Hebert, ARNP, CPNP-PC
- Hannah P Hedges
- Saralyn Dyer Hefner, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.