Heartland Surgery Llc in Marion - Surgery
Heartland Surgery Llc - NPI 1336172766
Heartland Surgery Llc is a Surgery in Marion, Illinois. Heartland Surgery Llc practices all healthcare services and medical treatments related to Surgery. The NPI Number for Heartland Surgery Llc is 1336172766. The last update date is 2020-08-22.
Heartland Surgery Llc's current location address is 3402 Office Park Dr, Marion, Illinois. You can contact this provider via phone number 6189933221. The mailing address for Heartland Surgery Llc is 3402 Office Park Dr, Marion, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Heartland Surgery Llc |
|---|---|
| Address | 3402 Office Park Dr, Marion, Illinois |
| Phone Number | 6189933221 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Demattei O. Clay |
| Credentials | MD |
| Telephone Number | 6189933221 |
NPI Number Detail
| NPI Number | 1336172766 |
|---|---|
| Provider Enumeration Date | 2006-07-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 3402 Office Park Dr |
|---|---|
| City | Marion |
| State | Illinois (IL) |
| Post Code | 629596477 |
| Phone Number | 6189933221 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Surgery |
|---|---|
| Taxonomy | 208600000X |
|
Definition: A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; |
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What is the Heartland Surgery Llc's 1336172766?
The Heartland Surgery Llc's NPI (National Provider Identifier) Number is 1336172766. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Heartland Surgery Llc?
The Heartland Surgery Llc is physically situated at 3402 Office Park Dr, in the city of Marion, state of IL, with the postal code 629596477.
What is Heartland Surgery Llc's area of expertise and its corresponding taxonomy classification?
The Heartland Surgery Llc's field of specialization is Surgery, and it falls under the taxonomy code 208600000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services assign the 1336172766 to Heartland Surgery Llc?
The Centers for Medicare & Medicaid Services assigned the 1336172766 to Heartland Surgery Llc on 2006-07-09.
When was the Heartland Surgery Llc's information last updated?
The Heartland Surgery Llc's information was last updated on 2020-08-22.