Organization Active NPI

Heartland Pain Management , LLC

  • Pain Medicine (Anesthesiology) Physician
  • Manhattan, KS
National Provider Identifier
1972574937
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
Legal business name
HEARTLAND PAIN MANAGEMENT , LLC
Practice address
1133 College Ave Ste F100
Manhattan, KS 66502-2756
Phone
(785) 320-6700
NPI assigned
Jan 30, 2006
Last updated
Apr 11, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Steven Robert Peloquin, MD
Title
Physician Owner
Phone
(785) 320-6700

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X Primary

Addresses

Primary practice location

1133 College Ave Ste F100
Manhattan, KS 66502-2756

Mailing address

1133 College Ave Ste F100
Manhattan, KS 66502-2756
Phone (785) 320-6700

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
17D2059809Heartland Pain Management LLC1133 College Avenue Suite F100, Manhattan, KS 66502Certificate of waiverMay 30, 2027

National Provider Directory

National Provider Directory

Locations

4000 W 6th St
Ste B
Lawrence, KS 66049
Phone (778) 874-3964

2025 Little Kitten Ave
Manhattan, KS 66503
Phone (785) 776-0065

457 E Poyntz Ave
Manhattan, KS 66502
Phone (785) 776-2879

Practitioners & affiliated clinicians

Practitioners 6

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": "1138579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1972574937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE F100",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022756",
            "telephone_number": "785-320-6700",
            "fax_number": "785-320-6701"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1133 COLLEGE AVE STE F100",
            "city": "MANHATTAN",
            "state": "KS",
            "postal_code": "665022756",
            "telephone_number": "785-320-6700"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEARTLAND PAIN MANAGEMENT , LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-01-30",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "PELOQUIN",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_middle_name": "ROBERT",
        "authorized_official_title_or_position": "PHYSICIAN OWNER",
        "authorized_official_telephone_number": "785-320-6700",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manhattan, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.