Heartland ENT & Allergy Center, P.S.C.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

Legal business name

HEARTLAND ENT & ALLERGY CENTER, P.S.C.

Practice address

101 Financial Drive, Suite 104
Elizabethtown, KY 42701-8450

Phone

(270) 765-5127

Fax

(270) 765-5337

NPI assigned

Nov 6, 2006

Last updated

Apr 10, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kiro J Yun, MDNPI 1669473468

Title

Owner

Phone

(270) 765-5127

Specialties & licenses 4

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in KY

Enrollment records 1

Locations

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kiro John Yun, MD

  • Otolaryngology Physician
  • Elizabethtown, KY
  • NPI 1669473468
  Medicare reassignment NPD Authorized official
• Carla Renee Fray, PA-C

  • Physician Assistant
  • Elizabethtown, KY
  • NPI 1124028246
  Medicare reassignment
• Eric Warren McDaniel, M.S. CCC-A

  • Audiologist
  • Bowling Green, KY
  • NPI 1336312321
  Medicare reassignment
• Diane M Cardin, ARNP

  • Family Nurse Practitioner
  • Bardstown, KY
  • NPI 1841504578
  NPD (past)
• Chanty Lynn Headspeth, PA C

  • Physician Assistant
  • Elizabethtown, KY
  • NPI 1447250584
  NPD (past)
• Atif Ikram

  • Audiologist
  • Elizabethtown, KY
  • NPI 1316948961
  NPD (past)
• Samuel J Pruden II, MD

  • MOHS-Micrographic Surgery Physician
  • Lexington, KY
  • NPI 1871593996

  Otolaryngology

  NPD (past)
• Heather Lynn Roper, AUDIOLOGIST

  • Audiologist
  • Elizabethtown, KY
  • NPI 1598793093
  NPD (past)
• Edward John Gross, M.D.

  • Specialist
  • Lake Mary, FL
  • NPI 1912929043
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523318400000",
    "number": "1780763078",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 FINANCIAL DRIVE, SUITE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018450",
            "telephone_number": "270-765-5127",
            "fax_number": "270-765-5337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 FINANCIAL DRIVE, SUITE 104",
            "city": "ELIZABETHTOWN",
            "state": "KY",
            "postal_code": "427018450",
            "telephone_number": "270-765-5127",
            "fax_number": "270-765-5337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ENT & ALLERGY CENTER, P.S.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-06",
        "last_updated": "2018-04-10",
        "status": "A",
        "authorized_official_last_name": "YUN",
        "authorized_official_first_name": "KIRO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "270-765-5127",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "231H00000X",
            "taxonomy_group": "",
            "desc": "Audiologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65920233",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland Better Hearing, Inc.
• Heartland Cardiothoracic Surgery PLLC
• Heartland Counseling Services PSC
• Heartland Diagnostics, LLC (Heartland Imaging Elizabethtown, Woodland Drive)
• Heartland Digestive Disease Center, LLC
• Heartland Family Chiropractic, PLLC
• Heartland Internal Medicine PLLC.
• Heartland Orthopaedic Associates (Elizabethtown Orthopaedic Associates)
• Heartland Pathology Consultants, PSC
• Heartland Patient Care, PLLC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2018; 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.