Heartland Vein and Vascular Institute, P.C.

Primary specialty

Vascular Surgery PhysicianTaxonomy code 2086S0129X

Legal business name

HEARTLAND VEIN AND VASCULAR INSTITUTE, P.C.

Practice address

12702 Westport Pkwy
#101
Omaha, NE 68138-4012

Phone

(402) 614-0026

Fax

(402) 614-1877

NPI assigned

Jul 25, 2006

Organization subpart

No

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

Authorized official

Name

Thomas B Whittle, M.D.

Title

M.D./President

Phone

(402) 614-0026

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 4

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

• Lindsay D Orwig, PA-C

  • Physician Assistant
  • Omaha, NE
  • NPI 1093724148
  NPD (past)
• James R Wolfe, APRN

  • Adult Health Nurse Practitioner
  • Omaha, NE
  • NPI 1629183421
  NPD (past)
• Timothy J Yrastorza, PA-C

  • Surgical Physician Assistant
  • Lincoln, NE
  • NPI 1609851005
  NPD (past)
• Rebecca J Ruf, PA-C

  • Physician Assistant
  • Cherokee, NC
  • NPI 1700160272
  NPD (past)

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

{
    "created_epoch": "1153785600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1406505600000",
    "number": "1922020999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12702 WESTPORT PKWY",
            "address_2": "#101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681384012",
            "telephone_number": "402-614-0026",
            "fax_number": "402-614-1877"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12702 WESTPORT PKWY",
            "address_2": "#101",
            "city": "OMAHA",
            "state": "NE",
            "postal_code": "681384012",
            "telephone_number": "402-614-0026",
            "fax_number": "402-614-1877"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND VEIN AND VASCULAR INSTITUTE, P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-25",
        "last_updated": "2014-07-28",
        "status": "A",
        "authorized_official_last_name": "WHITTLE",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "M.D./PRESIDENT",
        "authorized_official_telephone_number": "402-614-0026",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Surgery, Vascular Surgery",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRM",
            "identifier": "DF9576",
            "state": "NE"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "10025411200",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heartland Osteopathic Medicine
• Heartland Psychologists LLC
• Heartland Software Services, Inc
• Heartland Swallow Solutions, LLC
• Heartland Therapy Group of Nebraska
• Hearts of Gold Caregiver LLC
• Heartspace Counseling and Wellbeing, LLC
• Heartwise Idd Services LLC
• Heartwise Mental Health Clinic
• Heartwise Related Services LLC

• Vascular Surgery Physician in Omaha, NE
• Providers in Omaha, NE by specialty
• Vascular Surgery Physician in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2014; 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.