Active NPI
Heartland Internal Medicine
- Internal Medicine Physician
- Wentzville, MO
National Provider Identifier
1992844252
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2001018489
- Legal business name
- HEARTLAND INTERNAL MEDICINE
- Practice address
- 1021 Wentzville Pkwy
Wentzville, MO 63385-3437 - Phone
- (636) 887-3800
- Fax
- (636) 327-1564
- NPI assigned
- Feb 5, 2007
- 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
- Mrs. Karen M Duggan
- Title
- Biller
- Phone
- (696) 887-3800
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2001018489 | MO | Primary |
Addresses
Primary practice location
1021 Wentzville Pkwy
Wentzville, MO 63385-3437
Mailing address
1021 Wentzville Pkwy
Wentzville, MO 63385-3437
Phone (636) 887-3800
National Provider Directory
National Provider DirectoryLocations
1603 Wentzville Pkwy
Ste 127
Wentzville, MO 63385
Phone (636) 327-1200
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Pediatrics Physician
- Wentzville, MO
- NPI 1811955537
-
- Internal Medicine Physician
- Columbia, MO
- NPI 1902808892
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170633600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1992844252",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1021 WENTZVILLE PKWY",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853437",
"telephone_number": "636-887-3800",
"fax_number": "636-327-1564"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1021 WENTZVILLE PKWY",
"city": "WENTZVILLE",
"state": "MO",
"postal_code": "633853437",
"telephone_number": "636-887-3800",
"fax_number": "636-327-1564"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HEARTLAND INTERNAL MEDICINE",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-05",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "DUGGAN",
"authorized_official_first_name": "KAREN",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "BILLER",
"authorized_official_telephone_number": "696-887-3800",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MO",
"license": "2001018489",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wentzville, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.