Heartland Digestive Disease Center, LLC

Primary specialty

Gastroenterology PhysicianTaxonomy code 207RG0100X

Legal business name

HEARTLAND DIGESTIVE DISEASE CENTER, LLC

Practice address

2406 Ring Rd
Elizabethtown, KY 42701-7940

Phone

(270) 234-8866

Fax

(270) 234-1355

NPI assigned

Jan 11, 2007

Organization subpart

No

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

Authorized official

Name

Kashif B Haider, MD

Title

President

Phone

(270) 234-8866

Specialties & licenses 1

Addresses

Other identifiers 2

Practitioners 1

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

• Syedkashif B Haider, M.D.

  • Gastroenterology Physician
  • Elizabethtown, KY
  • NPI 1609958388
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1679623631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017940",
            "telephone_number": "270-234-8866",
            "fax_number": "270-234-1355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 RING RD",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427017940",
            "telephone_number": "270-234-8866",
            "fax_number": "270-234-1355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND DIGESTIVE DISEASE CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HAIDER",
        "authorized_official_first_name": "KASHIF",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "270-234-8866",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "KY",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65935926",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT GROUP NUMBER",
            "identifier": "1151619",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland Anesthesia Consultants, P.S.C.
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• Heartland Counseling Services PSC
• Heartland Diagnostics, LLC
• Heartland ENT & Allergy Center, P.S.C.
• Heartland Family Chiropractic, PLLC
• Heartland Internal Medicine PLLC.
• Heartland Orthopaedic Associates
• Heartland Pathology Consultants, PSC

• Gastroenterology Physician in Elizabethtown, KY
• Providers in Elizabethtown, KY by specialty
• Gastroenterology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.