Heartland Foot & Ankle Associates PC

Primary specialty

Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X

License

016.005357 Issued in IL

Legal business name

HEARTLAND FOOT & ANKLE ASSOCIATES PC

Practice address

10 Heartland Dr
Suite B
Bloomington, IL 61704-7775

Phone

(309) 661-9975

Fax

(309) 661-9920

NPI assigned

Sep 5, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Melissa Jomarie Lockwood, D.P.M.NPI 1669664595

Title

Owner/President

Phone

(309) 661-9975

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IL2 enrollments

Enrollment records 2

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Melissa Jomarie Lockwood, D.P.M.

  • Foot & Ankle Surgery Podiatrist
  • Bloomington, IL
  • NPI 1669664595
  Medicare reassignment NPD Authorized official
• Zain Hasan Rizvi, D.P.M.

  • Podiatrist
  • Buffalo, NY
  • NPI 1285021980

  IL

  Medicare reassignment NPD

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

{
    "created_epoch": "1220572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1661990400000",
    "number": "1659529311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 HEARTLAND DR",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047741",
            "telephone_number": "309-661-9975",
            "fax_number": "309-661-9920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 HEARTLAND DR",
            "address_2": "SUITE B",
            "city": "BLOOMINGTON",
            "state": "IL",
            "postal_code": "617047775",
            "telephone_number": "309-661-9975",
            "fax_number": "309-661-9920"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND FOOT & ANKLE ASSOCIATES PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-09-05",
        "last_updated": "2022-09-01",
        "certification_date": "2022-09-01",
        "status": "A",
        "authorized_official_last_name": "LOCKWOOD",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_middle_name": "JOMARIE",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "309-661-9975",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.P.M."
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "IL",
            "license": "016.005357",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DMERC # WITH PPG",
            "identifier": "0732240001",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "016005357",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heart of Illinois Obstetrics and Gynecology, S.C.
• Heartcare Midwest
• Heartland Anesthesia LLC
• Heartland Emergency Specialists, LLC
• Heartland Eyecare Group
• Heartland Home Medical Supply, Inc.
• Alyssa L Heavrin
• Kristie Leigh Heck
• Laurie Heermance, M.S.
• Kaitlyn Heffren, FNP-C

• Foot & Ankle Surgery Podiatrist in Bloomington, IL
• Providers in Bloomington, IL by specialty
• Foot & Ankle Surgery Podiatrist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.