Active NPI
Heartland Oncology, LLC
- Radiation Oncology Physician
- Garden City, KS
National Provider Identifier
1982025896
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Radiation Oncology Physician
- Legal business name
- HEARTLAND ONCOLOGY, LLC
- Practice address
- 410 E Spruce St
Garden City, KS 67846-5659 - Phone
- (620) 272-2579
- Fax
- (620) 272-2685
- NPI assigned
- Dec 18, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Candice Evans
- Title
- Credentialing
- Phone
- (620) 603-8846
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Radiation Oncology Physician | 2085R0001X | Primary |
Addresses
Primary practice location
410 E Spruce St
Garden City, KS 67846-5659
Mailing address
2337 E Crawford St
Salina, KS 67401-3713
Phone (785) 823-0633
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in KS
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20150119000740 | KS | Part B Supplier - Clinic/Group Practice | 9638302342 |
Receives reassigned benefits from 2 practitioners 4 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Garden City, KS |
Other NPIs on the same Medicare enrollment 4
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Mobile Radiology Clinic/Center
- Dodge City, KS
- NPI 1730575838
O20150119000740
National Provider Directory
National Provider DirectoryLocations
410 E Spruce St
Garden City, KS 67846
Phone (620) 272-2102
2337 E Crawford St
Salina, KS 67401
Phone (785) 823-0633
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1387324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1728518400000",
"number": "1982025896",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2337 E CRAWFORD ST",
"city": "SALINA",
"state": "KS",
"postal_code": "674013713",
"telephone_number": "785-823-0633",
"fax_number": "785-823-0658"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "410 E SPRUCE ST",
"city": "GARDEN CITY",
"state": "KS",
"postal_code": "678465659",
"telephone_number": "620-272-2579",
"fax_number": "620-272-2685"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND ONCOLOGY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2013-12-18",
"last_updated": "2024-10-10",
"certification_date": "2024-10-10",
"status": "A",
"authorized_official_last_name": "EVANS",
"authorized_official_first_name": "CANDICE",
"authorized_official_title_or_position": "CREDENTIALING",
"authorized_official_telephone_number": "620-603-8846"
},
"taxonomies": [
{
"code": "2085R0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Radiology, Radiation Oncology",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Garden City, KS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.