Provider Demographics
NPI:1942493317
Name:HEARTLAND CARDIOLOGY, LLC
Entity Type:Organization
Organization Name:HEARTLAND CARDIOLOGY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN/OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:J
Authorized Official - Last Name:SPADARO
Authorized Official - Suffix:JR
Authorized Official - Credentials:MD
Authorized Official - Phone:636-680-5151
Mailing Address - Street 1:1011 BOWLES AVENUE
Mailing Address - Street 2:SUITE 205
Mailing Address - City:FENTON
Mailing Address - State:MO
Mailing Address - Zip Code:63026-0000
Mailing Address - Country:US
Mailing Address - Phone:636-680-5151
Mailing Address - Fax:636-680-5150
Practice Address - Street 1:1011 BOWLES AVE
Practice Address - Street 2:SUITE 205
Practice Address - City:FENTON
Practice Address - State:MO
Practice Address - Zip Code:63026
Practice Address - Country:US
Practice Address - Phone:636-680-5151
Practice Address - Fax:636-680-5150
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2009-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular DiseaseGroup - Single Specialty