Heartland Ear, Nose & Throat Specialists, LLC

Primary specialty

Medical Specialty Clinic/CenterTaxonomy code 261QM2500X

License

22720 Issued in NE

Legal business name

HEARTLAND EAR, NOSE & THROAT SPECIALISTS, LLC

Practice address

1550 E 23Rd St
Fremont, NE 68025-2414

Phone

(402) 721-2623

Fax

(402) 721-2339

NPI assigned

Aug 13, 2006

Organization subpart

No

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

Authorized official

Name

Timothy C Kuo, MDNPI 1033101878

Title

Physician/Managing Partner

Phone

(402) 721-2623

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NE

Enrollment records 1

Locations

Practitioners 1

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

• Timothy C Kuo, M.D.

  • Otolaryngology Physician
  • Winchester, TN
  • NPI 1033101878

  NE

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1155427200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282608000000",
    "number": "1801808159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1550 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252414",
            "telephone_number": "402-721-2623",
            "fax_number": "402-721-2339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1550 E 23RD ST",
            "city": "FREMONT",
            "state": "NE",
            "postal_code": "680252414",
            "telephone_number": "402-721-2623",
            "fax_number": "402-721-2339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND EAR, NOSE & THROAT SPECIALISTS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-13",
        "last_updated": "2010-08-24",
        "status": "A",
        "authorized_official_last_name": "KUO",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PHYSICIAN/MANAGING PARTNER",
        "authorized_official_telephone_number": "402-721-2623",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "NE",
            "license": "22720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025098000",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Heartland Family Service
• Heartland Orthopaedic and Sports Medicine Clinic LLC
• Heartlands Radiation Therapy PC

• Medical Specialty Clinic/Center in Fremont, NE
• Providers in Fremont, NE by specialty
• Medical Specialty Clinic/Center in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; 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.