MID AMERICA HEART, PC – NPI #1124299615
Internal Medicine

An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.

MID AMERICA HEART, PC is a provider located in O'FALLON, IL. NPPES has assigned the NPI number 1124299615 to MID AMERICA HEART, PC on March 12, 2008. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 207RC0000X from the Health Care Provider Taxonomy code set, which is classified as Internal Medicine, specializing in Cardiovascular Disease

The NPI profile was previously updated about 18 years ago on Oct 17, 2008. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for MID AMERICA HEART, PC below.

NPI Profile for
MID AMERICA HEART, PC

NPI Number
1124299615
Enumeration Date

(more than 18 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
MID AMERICA HEART, PC
Primary location
310 N SEVEN HILLS RD
SUITE 150
O'FALLON, IL 62269-4111
Phone: (618) 632-1495 Fax: (618) 628-0480
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
ANN LINTZENICH
OFFICE MANAGER
Phone: (618) 632-1495
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
207RC0000X
- Internal Medicine / Cardiovascular Disease (Primary)

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.