Heritage Medical Associates, P.A. in Peabody - Family Medicine
Heritage Medical Associates, P.A. - NPI 1316998305
Heritage Medical Associates, P.A. is a Family Medicine in Peabody, Kansas. Heritage Medical Associates, P.A. practices all healthcare services and medical treatments related to Family Medicine. The NPI Number for Heritage Medical Associates, P.A. is 1316998305. The last update date is 2020-08-22.
Heritage Medical Associates, P.A.'s current location address is 500 W 4th St, Peabody, Kansas. You can contact this provider via phone number 6209832171 and fax number 6209832575. The mailing address for Heritage Medical Associates, P.A. is 500 W 4th St, Peabody, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heritage Medical Associates, P.A. |
|---|---|
| Address | 500 W 4th St, Peabody, Kansas |
| Phone Number | 6209832171 |
| Fax Number | 6209832575 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DIRECTOR |
|---|---|
| Authorized Official Name | Whitely Richard Randolph |
| Credentials | M.D. |
| Telephone Number | 6209832171 |
NPI Number Detail
| NPI Number | 1316998305 |
|---|---|
| Provider Enumeration Date | 2006-05-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 500 W 4th St |
|---|---|
| City | Peabody |
| State | Kansas (KS) |
| Post Code | 6686611030 |
| Phone Number | 6209832171 |
| Fax Number | 6209832575 |
Provider's Primary Taxonomy Detail
| Speciality | Family Medicine |
|---|---|
| Taxonomy | 207Q00000X |
| Licence No | 04-25153 |
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Definition: 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 i |
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What is the unique 10-digit identification code assigned to Heritage Medical Associates, P.A. by the Centers for Medicare & Medicaid Services?
The Heritage Medical Associates, P.A. has been issued the NPI (National Provider Identifier) 1316998305, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Heritage Medical Associates, P.A. located?
The Heritage Medical Associates, P.A. is located at 500 W 4Th St, Peabody, KS 6686611030.
What is the Heritage Medical Associates, P.A.'s area of specialization and corresponding taxonomy classification?
The Heritage Medical Associates, P.A.'s specialty field is Family Medicine, and it falls under the taxonomy code 207Q00000X, which categorizes healthcare providers based on their specialties.
When did the Heritage Medical Associates, P.A. receive its 1316998305?
The Heritage Medical Associates, P.A. was issued its 1316998305 on 2006-05-14, which is the date when the organization was assigned this unique identifier.
As of what date were the Heritage Medical Associates, P.A.'s details last updated?
The information pertaining to the Heritage Medical Associates, P.A., including its address, specialty, and other details, was most recently updated on 2020-08-22.