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

Active since March 06, 2007
2130 E JACKSON BLVD, JACKSON, MO 63755(573) 243-3115(573) 243-4700 Get Directions Write a Review

NPPES record last updated: September 22, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Heartland Family Physicains Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEARTLAND FAMILY PHYSICAINS CLINIC (NPI 1205966645) is a healthcare organization registered as a family medicine in Jackson, Missouri and active in the NPI registry since March 2007. The organization lists Ramiro Icaza, Adminstrator, as its authorized official.

NPPES Registry Identity

NPI1205966645
Entity TypeOrganization
Primary Taxonomy207Q00000X
Legal Business NameHEARTLAND FAMILY PHYSICAINS CLINIC
Location Address2130 E JACKSON BLVDJackson, MO 63755-2907
Mailing Address2130 E Jackson BlvdJackson, MO 63755-2907 · (573) 243-3115 · Fax (573) 243-4700
Phone(573) 243-3115
Fax(573) 243-4700
Organization SubpartNo
Authorized OfficialRamiro IcazaAdminstrator · 57352433115
Enumeration DateMarch 6, 2007
Last NPPES UpdateSeptember 22, 2010
✔ NPI 1205966645 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in MO · MDR7D79
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 is not limited by age, sex, organ system, or disease entity.
2130 E JACKSON BLVD, Jackson, MO 63755
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 16

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. MARCY A EMMONS PA-C
Physician Assistant
2130 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-8408
MRS. REBECCA ELLEN FIELDER LCSW
Social Worker (Clinical)
2130 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-8408
SAINT FRANCIS MEDICAL CENTER
Clinic/Center
2130 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-3115
CRYSTAL ANN WEKENBORG FNP
Nurse Practitioner (Family)
2130 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-3115
CHELSEA ANN BUCHER FNP
Nurse Practitioner (Family)
2130 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-3115
LAURA E GLUECK DO
Family Medicine
2130 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-8408
SAINT FRANCIS MEDICAL CENTER
Clinic/Center (Rural Health)
2130 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-3115
MACKENZIE LYNCH
Nurse Practitioner (Family)
2130 E JACKSON BLVD
JACKSON, MO 63755
Cape Girardeau County (573) 243-8408

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Heartland Family Physicains Clinic's NPI number?

The NPI number for Heartland Family Physicains Clinic is 1205966645. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Heartland Family Physicains Clinic located?

Heartland Family Physicains Clinic is located at 2130 E Jackson Blvd, Jackson, MO 63755. The listed phone number is (573) 243-3115.

What is Heartland Family Physicains Clinic's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Heartland Family Physicains Clinic was last updated on September 22, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.