HEARTLAND FAMILY PHYSICAINS CLINIC
NPI 1205966645
Family Medicine in Jackson, MO

NPI Status: Active since March 06, 2007

Contact Information

2130 E JACKSON BLVD
JACKSON, MO
ZIP 63755
Phone: (573) 243-3115
Fax: (573) 243-4700

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  • Organization
  • Family Medicine

About HEARTLAND FAMILY PHYSICAINS CLINIC

This page provides the complete NPI Profile along with additional information for Heartland Family Physicains Clinic, a primary care provider established in Jackson, Missouri operating as a Family Medicine. The healthcare provider is registered in the NPI registry with number 1205966645 assigned on March 2007. The practitioner's primary taxonomy code is 207Q00000X with license number MDR7D79 (MO). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a single speciality business group with one or more individual providers who practice the same area of specialization. The authorized official of this NPI record is Dr. Ramiro Icaza M.d. (Adminstrator)

NPI
1205966645
Provider Name
HEARTLAND FAMILY PHYSICAINS CLINIC
Entity Type
Organization
Location Address
2130 E JACKSON BLVD JACKSON, MO 63755
Location Phone
(573) 243-3115
Location Fax
(573) 243-4700
Mailing Address
2130 E JACKSON BLVD JACKSON, MO 63755
Mailing Phone
(573) 243-3115
Mailing Fax
(573) 243-4700
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-06-2007
Last Update Date
09-22-2010
Code Navigator

A primary care provider (PCP) like Heartland Family Physicains Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
MDR7D79
License State
MO
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. RAMIRO ICAZA M.D.

Authorized Official Title
ADMINSTRATOR
Authorized Official Phone

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1205966645
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22051861268
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 0 + 5 + 1 + 8 + 6 + 1 + 2 + 6 + 8 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1205966645 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 15 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1760516587MRS. PAMELA A LEWIS F.N.P.
Individual
Nurse Practitioner2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-3115
1427054691 CRYSTAL ANN WEKENBORG FNP
Individual
Nurse Practitioner (Family)2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-3115
1598186157SAINT FRANCIS MEDICAL CENTER
Organization
Clinic/Center (Rural Health)2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-3115
1154854388SAINT FRANCIS MEDICAL CENTER
Organization
Clinic/Center2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-3115
1447829072 CHELSEA ANN BUCHER FNP
Individual
Nurse Practitioner (Family)2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-3115
1801519392 ALLISON RHYMER
Individual
Nurse Practitioner (Family)2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1073515714MS. MARCY A EMMONS PA-C
Individual
Physician Assistant2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1083329189MRS. REBECCA ELLEN FIELDER LCSW
Individual
Social Worker (Clinical)2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1457611261 LAURA E GLUECK DO
Individual
Family Medicine2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1740631514 JENNY M EICHHORN MD
Individual
Family Medicine2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1851765614 LEAH W LEGRAND FNP
Individual
Nurse Practitioner (Family)2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1992502975SAINT FRANCIS MEDICAL CENTER
Organization
Clinic/Center2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1619775632 MACKENZIE LYNCH
Individual
Nurse Practitioner (Family)2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1740073717 KIMBERLY ANN GLASTETTER-BROWN MSW
Individual
Registered Nurse2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8408
1841180049 SHELBEE LAINE BOYER FNP-C
Individual
Nurse Practitioner (Family)2130 E JACKSON BLVD
JACKSON, MO 63755
(573) 243-8404

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1205966645, enumerated in the NPI registry as an "organization" on March 06, 2007

The provider is located at 2130 E Jackson Blvd Jackson, Mo 63755 and the phone number is (573) 243-3115

This medical organization specializes in Family Medicine with taxonomy code 207Q00000X

This NPI record was last updated on March 06, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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