Organization Active NPI

Heartland Pathology Consultants, PCS

  • General Practice Physician
  • Edmond, OK
National Provider Identifier
1578714721
Registry record updated Oct 7, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
16447 Issued in OK
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, 2008By the provider in NPPES
Organization subpart
Yes
Parent organization
HEARTLAND PATHOLOGY CONSULTANTS, PCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 7, 2008

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
100746640AMedicaidOK

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.

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

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.

Verify at the official NPI Registry.