Organization Active NPI

Heartland Podiatry, P.C.

  • Podiatrist
  • Independence, MO
National Provider Identifier
1699795807
Registry record updated Nov 16, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
000565 Issued in MO
Legal business name
HEARTLAND PODIATRY, P.C.
Practice address
2406 Rd Mize Rd Ste B
Independence, MO 64057
Phone
(816) 478-3338
Fax
(816) 373-0054
NPI assigned
Jul 20, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2009

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

Authorized official

Name
Dr. Arthur M Weisman, DPM
Title
President
Phone
(816) 478-3338

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
PodiatristGroup: 193400000X SINGLE SPECIALTY GROUP 213E00000X 000565 MO Primary

Addresses

Primary practice location

2406 Rd Mize Rd Ste B
Independence, MO 64057

Mailing address

2406 Rd Mize Rd Ste B
Independence, MO 64057
Phone (816) 478-3338

Other identifiers 2

IdentifierTypeStateIssuer
24043025OtherMOBLUE SHIELD GROUP NUMBER
368977203OtherMOMEDICAID GROUP NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040616000999 MO Part B Supplier - Clinic/Group Practice 3971587924 Receives reassigned benefits from 3 practitioners
Practice locations: Independence, MO; Lees Summit, MO; Odessa, MO; Lexington, MO; Higginsville, MO; Blue Springs, MO
O20100930017402 MO DME Supplier - Physician - Podiatry 3971587924 Practice locations: Independence, MO

National Provider Directory

National Provider Directory

Locations

2406 S R D Mize Rd
Ste B
Independence, MO 64057

4811 S Arrowhead Dr
Ste A3
Independence, MO 64055

Ownership & related parties

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

Practitioners & affiliated clinicians

Practitioners 4

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

NPI Registry JSON

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

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1258329600000",
    "number": "1699795807",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2406 RD MIZE RD STE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-478-3338",
            "fax_number": "816-373-0054"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2406 RD MIZE RD STE B",
            "city": "INDEPENDENCE",
            "state": "MO",
            "postal_code": "64057",
            "telephone_number": "816-478-3338",
            "fax_number": "816-373-0054"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PODIATRY, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-20",
        "last_updated": "2009-11-16",
        "status": "A",
        "authorized_official_last_name": "WEISMAN",
        "authorized_official_first_name": "ARTHUR",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "816-478-3338",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DPM"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Podiatrist",
            "state": "MO",
            "license": "000565",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD GROUP NUMBER",
            "identifier": "24043025",
            "state": "MO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP NUMBER",
            "identifier": "368977203",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Independence, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2009; 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.