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HEARTLAND FOOT AND ANKLE ASSOCIATES P.C. NPI 1659529311


NPI Information

NPI: 1659529311
Provider Name: HEARTLAND FOOT AND ANKLE ASSOCIATES, P.C.
Classification: Podiatrist - 213ES0103X
Entity Type: Organization

Specialization: Foot & Ankle Surgery

Address:
10 HEARTLAND DR
SUITE B
BLOOMINGTON, IL
ZIP 61704
Phone: (309) 661-9975
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HEARTLAND FOOT AND ANKLE ASSOCIATES, P.C. is a foot and ankle surgery podiatrist in Bloomington, IL. HEARTLAND FOOT AND ANKLE ASSOCIATES, P.C. NPI is 1659529311. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

10 HEARTLAND DR
SUITE B
BLOOMINGTON, IL
ZIP 61704-775
Phone: (309) 661-9975
Fax: (309) 661-9920

The provider's authorized official is Melissa Jomarie Lockwood .
The authorized official title is Owner/president and has the following contact phone number (309) 661-9975.

The enumeration date for this NPI number is 9/5/2008 and was last updated on 12/30/2010.


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
1213ES0103XPodiatristFoot & Ankle Surgery016.005357ILLINOISYes

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
1016005357MEDICAIDILLINOIS
2560750002MEDICARE PIN
3P00724582MEDICARE PIN
40732240001OTHERDMERC # WITH PPG
56235380001MEDICARE NSC

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: 11/14/2023

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