Heartland Anesthesia

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

Legal business name

HEARTLAND ANESTHESIA

Practice address

711 Marshall St
Leavenworth, KS 66048-3235

Phone

(913) 684-1100

Fax

(913) 684-1239

NPI assigned

Dec 30, 2010

Organization subpart

No

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

Authorized official

Name

Kelly Gordon, CRNA

Title

Owner/President

Phone

(913) 522-0889

Specialties & licenses 1

Addresses

Other identifiers 3

Other names 1

• HEARTLAND ANESTHESIA , L.L.C. Other name

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

{
    "created_epoch": "1293667200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1881998110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 410272",
            "city": "KANSAS CITY",
            "state": "MO",
            "postal_code": "641410272",
            "telephone_number": "913-234-1350",
            "fax_number": "913-234-1108"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "711 MARSHALL ST",
            "city": "LEAVENWORTH",
            "state": "KS",
            "postal_code": "660483235",
            "telephone_number": "913-684-1100",
            "fax_number": "913-684-1239"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND ANESTHESIA",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-30",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "GORDON",
        "authorized_official_first_name": "KELLY",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "913-522-0889",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "KS",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "200689230A",
            "state": "KS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "DR1786",
            "state": "KS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881998110",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HEARTLAND ANESTHESIA , L.L.C.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Catherine Hasterlo, OTR/L, CLT
• Donald Darren Haun, D.D.S
• Nathan Haverkamp
• Leslie Dawn Hayes
• Healthy Solutions, Inc.
• Heartland Dental Group
• Heartstrings Home Care, Inc
• Mehrdad Martin Hedayatzadeh
• Ken I Hedegaard, RPH
• Suzanne Heflin

• Certified Registered Nurse Anesthetist in Leavenworth, KS
• Providers in Leavenworth, KS by specialty
• Certified Registered Nurse Anesthetist in Kansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.