Provider Type Icon

HEARTLAND PHYSICIAN SERVICES LLC NPI 1669585766


NPI Information

NPI: 1669585766
Provider Name: HEARTLAND PHYSICIAN SERVICES, LLC

Doing Business As: KANSAS CITY FAMILY MEDICAL CARE

Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 26D0881059

Address:
1004 CARONDELET DR
STE 300A
KANSAS CITY, MO
ZIP 64114
Phone: (816) 941-9030
Get Directions

HEARTLAND PHYSICIAN SERVICES, LLC is a family medicine in Kansas City, MO. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. HEARTLAND PHYSICIAN SERVICES, LLC NPI is 1669585766. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Kansas City Family Medical Care.

The provider's business location address is:

1004 CARONDELET DR
STE 300A
KANSAS CITY, MO
ZIP 64114-801
Phone: (816) 941-9030
Fax: (816) 941-3866

The provider's authorized official is Pam Gavin .
The authorized official title is Practice Manager and has the following contact phone number (816) 941-9030.

The CLIA number assigned to this NPI record is 26D0881059 - physician office with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 8/16/2006 and was last updated on 6/5/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily Medicine101923MISSOURIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1MA4728OTHERMISSOURIMEDICARE PTAN
2M220000MEDICARE ID-TYPE UNSPECIFIEDMISSOURIMEDICARE PROVIDER NUMBER

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.