Active NPI
Heritage Health LLC
- Hospice and Palliative Medicine (Family Medicine) Physician
- Koshkonong, MO
National Provider Identifier
1588575153
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hospice and Palliative Medicine (Family Medicine) Physician
- Legal business name
- HERITAGE HEALTH LLC
- Practice address
- 4335 US 160
Koshkonong, MO 65692-9770 - Phone
- (417) 794-4188
- Fax
- (417) 384-3875
- NPI assigned
- Sep 14, 2026
- Last updated
- Sep 14, 2026
- 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
- Dr. Scott F Roush, DO
- Title
- Owner/Physician
- Phone
- (417) 372-2694
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Hospice and Palliative Medicine (Family Medicine) Physician | 207QH0002X | NU | Primary |
Addresses
Primary practice location
4335 US 160
Koshkonong, MO 65692-9770
Mailing address
4335 US 160
Koshkonong, MO 65692-9770
Phone (417) 794-4188
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200447514 | Medicaid | MO |
National Provider Directory
National Provider DirectoryPractitioners & 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.
-
- Family Medicine Physician
- Koshkonong, MO
- NPI 1750469706
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1789344000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1789344000000",
"number": "1588575153",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4335 US 160",
"city": "KOSHKONONG",
"state": "MO",
"postal_code": "656929770",
"telephone_number": "417-794-4188",
"fax_number": "417-384-3875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4335 US 160",
"city": "KOSHKONONG",
"state": "MO",
"postal_code": "656929770",
"telephone_number": "417-794-4188",
"fax_number": "417-384-3875"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HERITAGE HEALTH LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-09-14",
"last_updated": "2026-09-14",
"certification_date": "2026-09-14",
"status": "A",
"authorized_official_last_name": "ROUSH",
"authorized_official_first_name": "SCOTT",
"authorized_official_middle_name": "F",
"authorized_official_title_or_position": "OWNER/PHYSICIAN",
"authorized_official_telephone_number": "417-372-2694",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "DO"
},
"taxonomies": [
{
"code": "207QH0002X",
"taxonomy_group": "",
"desc": "Family Medicine, Hospice and Palliative Medicine",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200447514",
"state": "MO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Koshkonong, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.