Midwest Heart Group of Rolla, LLC

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

Legal business name

MIDWEST HEART GROUP OF ROLLA, LLC

Practice address

100 W 10TH St
Suite 100
Rolla, MO 65401-3248

Phone

(573) 426-6751

Fax

(573) 426-6752

NPI assigned

Dec 3, 2007

Organization subpart

No

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

Authorized official

Name

John G. Hermann

Title

President

Phone

(314) 364-3380

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Joseph C Dwyer, MD

  • Cardiovascular Disease Physician
  • Cape Girardeau, MO
  • NPI 1720062532

  Cardiovascular Disease

  NPD (past)

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

{
    "created_epoch": "1196640000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196640000000",
    "number": "1700068616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 W 10TH ST",
            "address_2": "SUITE 100",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013248",
            "telephone_number": "573-426-6751",
            "fax_number": "573-426-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 W 10TH ST",
            "address_2": "SUITE 100",
            "city": "ROLLA",
            "state": "MO",
            "postal_code": "654013248",
            "telephone_number": "573-426-6751",
            "fax_number": "573-426-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIDWEST HEART GROUP OF ROLLA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-03",
        "last_updated": "2007-12-03",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "G.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "314-364-3380"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mid-Missouri Foot and Ankle Center
• Mid-Missouri Internal Medicine Inc
• Mid-Mo O&P LLC
• Angela Christine Middleton, FNP-BC, CEN
• Midwest Chiropractic Center LLC
• Vera Mikhailova, MD
• Joshua Ryan Miller, DO
• Margaret P. Miller, L.C.S.W.
• Jonathan Lee Minor, M.D.
• Miracl, LLC

• All providers in Rolla, MO
• Cardiovascular Disease Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 3, 2007; 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.