NPIMap

Organization Active NPI

Heartland ENT Head and Neck Surgery, LLC

  • Otolaryngology Physician
  • Mexico, MO
National Provider Identifier
1871761437
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
112829 Issued in MO
Legal business name
HEARTLAND ENT HEAD AND NECK SURGERY, LLC
Practice address
515 E Promenade St
Mexico, MO 65265-2966
Phone
(573) 582-8500
Fax
(573) 582-7727
NPI assigned
Feb 18, 2008
Last updated
Apr 1, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Dr. David B Bowne, M.D.
Title
Managing Member
Phone
(573) 582-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X 112829 MO Primary

Addresses

Primary practice location

515 E Promenade St
Mexico, MO 65265-2966

Mailing address

515 E Promenade St
Mexico, MO 65265-2966
Phone (573) 582-8500

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1203292800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1871761437",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "515 E PROMENADE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652966",
            "telephone_number": "573-582-8500",
            "fax_number": "573-582-7727"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "515 E PROMENADE ST",
            "city": "MEXICO",
            "state": "MO",
            "postal_code": "652652966",
            "telephone_number": "573-582-8500",
            "fax_number": "573-582-7727"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ENT HEAD AND NECK SURGERY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-18",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "BOWNE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "573-582-8500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": "MO",
            "license": "112829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mexico, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.