Active NPI
Heartland Oncology, LLC
- Mobile Radiology Clinic/Center
- Dodge City, KS
National Provider Identifier
1730575838
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mobile Radiology Clinic/Center
- Legal business name
- HEARTLAND ONCOLOGY, LLC
- Practice address
- 3001 Avenue a
Dodge City, KS 67801-2270 - Phone
- (620) 371-7200
- Fax
- (913) 535-2055
- NPI assigned
- Apr 15, 2015
- 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
- Luis Alfredo Lopez
- Title
- Partner
- Phone
- (785) 823-0633
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mobile Radiology Clinic/Center | 261QR0208X | Primary |
Addresses
Primary practice location
3001 Avenue a
Dodge City, KS 67801-2270
Mailing address
PO Box 3557
Salina, KS 67402-3557
Phone (785) 823-0633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150119000740 | KS | Part B Supplier - Clinic/Group Practice | 9638302342 |
Receives reassigned benefits from 2 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Garden City, KS |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Radiation Oncology Physician
- Emporia, KS
- NPI 1750944112
-
- Therapeutic Radiology Physician
- Emporia, KS
- NPI 1366403537
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429056000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1429056000000",
"number": "1730575838",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3557",
"city": "SALINA",
"state": "KS",
"postal_code": "674023557",
"telephone_number": "785-823-0633",
"fax_number": "785-823-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3001 AVENUE A",
"city": "DODGE CITY",
"state": "KS",
"postal_code": "678012270",
"telephone_number": "620-371-7200",
"fax_number": "913-535-2055"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND ONCOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2015-04-15",
"last_updated": "2015-04-15",
"status": "A",
"authorized_official_last_name": "LOPEZ",
"authorized_official_first_name": "LUIS",
"authorized_official_middle_name": "ALFREDO",
"authorized_official_title_or_position": "PARTNER",
"authorized_official_telephone_number": "785-823-0633"
},
"taxonomies": [
{
"code": "261QR0208X",
"taxonomy_group": "",
"desc": "Clinic/Center, Radiology, Mobile",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Dodge City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2015; 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.