HEARTLAND MEDICAL SUPPLY INC (NPI# 1457494155) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457494155 |
| Entity Type | Organization |
| Organization Name | HEARTLAND MEDICAL SUPPLY INC |
| Other Organization Name | HEARTLAND PHARMACY & MEDICAL SUPPLY |
| Practice Address |
204 Us 27 S Lake Placid FL 33852-7900 |
| Mailing Address |
6360 Us Highway 27 N Sebring FL 33870-1225 |
| Practice Telephone | 8634650024 |
| Practice Fax Number | 8634659656 |
| Mailing Telephone | 8633860081 |
| Mailing Fax Number | 8633855118 |
| Enumeration Date | 2007-02-14 |
| Last Update Date | 2008-04-15 |
| Authorized Official Name | ROBERT E. DUNCAN (PRESIDENT) |
| Authorized Official Telephone | 8633857673 |
| Authorized Official Credential | R.PH. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332BP3500X |
Durable Medical Equipment & Medical Supplies Specialization: Parenteral & Enteral Nutrition |
PH15581 | FL | Suppliers |
| N | 332BX2000X |
Durable Medical Equipment & Medical Supplies Specialization: Oxygen Equipment & Supplies |
PH15581 | FL | Suppliers |
| N | 335E00000X | Prosthetic/Orthotic Supplier | PH15581 | FL | Suppliers |
| Y | 332B00000X | Durable Medical Equipment & Medical Supplies | PH15581 | FL | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| FL | BCBS PROVIDER NUMBER | P7903 | 01 |
| FL | NCPDP | 1083663 | 01 |
| Other Name | Type Code |
|---|---|
| Heartland Pharmacy & Medical Supply | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275567299 | Heartland Medical Supply Inc | Durable Medical Equipment & Medical Supplies | 1605 Coggin Avenue, Brownwood, TX 76801 | 2006-07-10 |
| 1740323658 | Heartland Medical Supply Inc | Pharmacy | 204 Us 27 S, Lake Placid, FL 33852-7900 | 2007-02-14 |
| Street Address |
204 US 27 S |
| City | LAKE PLACID |
| State | FL |
| Zip Code | 33852-7900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447399894 | Mark Doskocz | Physical Therapy Assistant | 204 Us 27 S, Lake Placid, FL 33852-7900 | 2007-02-05 |
| 1275752172 | Silvia Gonzalez Swaford | Pharmacist | 204 Us 27 S, Lake Placid, FL 33852-7900 | 2007-04-25 |
| 1083734149 | Elaine C. Strong | Pharmacist | 204 Us 27 S, Lake Placid, FL 33852-7900 | 2007-03-30 |
| 1780716779 | Dwight Raymond Bowerman | Speech-Language Pathologist | 204 Us 27 S, Lake Placid, FL 33852-7900 | 2007-03-12 |
| 1831234350 | Cora Health Services, Inc | Specialist/Technologist | 204 Us 27 S, Lake Placid, FL 33852-7900 | 2007-02-21 |
| 1740323658 | Heartland Medical Supply Inc | Pharmacy | 204 Us 27 S, Lake Placid, FL 33852-7900 | 2007-02-14 |
| 1942349394 | Sandi M Holmes | Physical Therapist | 204 Us 27 S, Lake Placid, FL 33852-7900 | 2007-02-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346728763 | Eduardo Enrique Florez | Behavior Technician | 621 S Sun N Lakes Blvd, Lake Placid, FL 33852 | 2018-07-30 |
| 1841738051 | Halcyon Rehabilitation, LLC | Clinic/Center | 1297 Us-27, Lake Placid, FL 33852 | 2017-02-08 |
| 1386014009 | Randolph Giller | Hearing Instrument Specialist | 403 E. Interlake Blvd., Lake Placid, FL 33852 | 2015-10-07 |
| 1275918369 | Toyeca Robinson | Technician, Other | 448 Lake Gloria Dr, Lake Placid, FL 33852 | 2015-07-30 |
| 1720422405 | Nic 4 Balmoral Leasing LLC | Assisted Living Facility | 93 Balmoral Drive, Lake Placid, FL 33852 | 2013-04-24 |
| 1720036908 | Stephanie Delbert | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2006-05-04 |
| 1821084013 | Eladio Lao | Anesthesiology | 1012 Hwy 27 N, Lake Placid, FL 33852 | 2005-09-22 |
| 1699204693 | Stephaniedelbert,arnp,inc | Nurse Practitioner | 13 N Main Ave, Lake Placid, FL 33852 | 2017-06-05 |
| 1639228398 | James Edward Oxer | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2007-01-10 |
| 1093293847 | Thomas Veronee | Dentist | 408 W Interlake Blvd, Lake Placid, FL 33852-0700 | 2018-08-03 |
| Find all providers in zip 33852 | ||||
| Taxonomy Code | 332B00000X |
| Grouping | Suppliers |
| Classification | Durable Medical Equipment & Medical Supplies |
| A supplier of medical equipment such as respirators, wheelchairs, home dialysis systems, or monitoring systems, that are prescribed by a physician for a patient’s use in the home and that are usable for an extended period of time. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427673565 | Hc Medical and Cosmetic Products LLC | Durable Medical Equipment & Medical Supplies | 125 Us Highway 27 S, Lake Placid, FL 33852-7918 | 2020-06-15 |
| 1235671777 | Publix Super Markets Inc | Durable Medical Equipment & Medical Supplies | 586 Us 27 N, Lake Placid, FL 33852-9508 | 2016-11-15 |
| 1205036142 | Performance Orthopedic Design, LLC | Durable Medical Equipment & Medical Supplies | 7 Old Military Rd, Lake Placid, NY 12946-1614 | 2007-07-19 |
| 1477762870 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2 Us 27 S, Lake Placid, FL 33852-9453 | 2007-05-22 |
| 1679677561 | Holiday Cvs LLC | Durable Medical Equipment & Medical Supplies | 5 Us 27 S, Lake Placid, FL 33852-7916 | 2006-09-12 |
| 1508975061 | Rite Aid of New York Inc | Durable Medical Equipment & Medical Supplies | 2140 Saranac Avenue, Lake Placid, NY 12946-1149 | 2006-08-29 |
| 1316463797 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 2140 Saranac Ave, Lake Placid, NY 12946-1149 | 2017-08-17 |
| 1063958437 | Heartland Pharmacy Lake Placid Inc | Durable Medical Equipment & Medical Supplies | 342 E Royal Palm St, Lake Placid, FL 33852-5019 | 2017-01-10 |
| 1326344516 | K & M Lake Placid Inc | Durable Medical Equipment & Medical Supplies | 133 Tower St, Lake Placid, FL 33852-6836 | 2011-02-04 |
| 1912144353 | K & M Lake Placid Inc | Durable Medical Equipment & Medical Supplies | 133 Tower St, Lake Placid, FL 33852-6836 | 2009-01-07 |
| Find all providers in LAKE PLACID | ||||
| City | LAKE PLACID |
| Zip Code | 33852 |
Please comment or provide details below to improve the information on HEARTLAND MEDICAL SUPPLY INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.