Heritage Development Partners, LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

HERITAGE DEVELOPMENT PARTNERS, LLC

Doing business as

Orthopaedic Surgery Center

Practice address

3025 Dixie Hwy
Edgewood, KY 41017-2378

Phone

(417) 889-2040

NPI assigned

Feb 17, 2022

Organization subpart

No

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

Authorized official

Name

Robert McCarville, MPA

Title

Authorized Official

Phone

(417) 889-2040

Specialties & licenses 1

Addresses

Other names 1

• Orthopaedic Surgery Center Doing business as

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Listed as

Heritage Development Partners LLC Dba Orthopaedic Surgery CenterCCN 18C0001056

Medicare certification status

ActiveFrom the Provider of Services file

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 1

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

• Raymond Michael Greiwe, MD

  • Orthopaedic Surgery Physician
  • Florence, KY
  • NPI 1376754671
  NPD (past)

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

{
    "created_epoch": "1645056000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655683200000",
    "number": "1730834730",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "560 S LOOP RD",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410173405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3025 DIXIE HWY",
            "city": "EDGEWOOD",
            "state": "KY",
            "postal_code": "410172378",
            "telephone_number": "417-889-2040"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERITAGE DEVELOPMENT PARTNERS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-02-17",
        "last_updated": "2022-06-20",
        "certification_date": "2022-06-20",
        "status": "A",
        "authorized_official_last_name": "MCCARVILLE",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "AUTHORIZED OFFICIAL",
        "authorized_official_telephone_number": "417-889-2040",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Orthopaedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Orthopaedic Surgery Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jessica Henderson
• Megan Claire Hennon, DO
• William Henry, MD
• Jennifer Lynn Hensley, MSN, ANP
• Lyndsey Hering, ABA
• Julie R Hermes, M.A. CCC-SLP
• Kira Marie Rose Herrmann, RBT
• Stephanie M Herro, CNP
• Chyenne Vera Hert, RBT
• Phillip G Hester, PSY.D

• Ambulatory Surgical Clinic/Center in Edgewood, KY
• Providers in Edgewood, KY by specialty
• Ambulatory Surgical Clinic/Center in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.