Provider Demographics
NPI:1811914997
Name:HEART CONSULTANTS PC
Entity type:Organization
Organization Name:HEART CONSULTANTS PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:S
Authorized Official - Last Name:FAHEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-384-4141
Mailing Address - Street 1:1120 N 103RD PLZ
Mailing Address - Street 2:SUITE 100
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68114-1114
Mailing Address - Country:US
Mailing Address - Phone:402-391-5055
Mailing Address - Fax:402-384-4202
Practice Address - Street 1:6901 N 72ND ST
Practice Address - Street 2:3300N
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68122-1709
Practice Address - Country:US
Practice Address - Phone:402-572-3300
Practice Address - Fax:402-572-3251
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-16
Last Update Date:2018-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes174400000XOther Service ProvidersSpecialistGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
IADA0675OtherMEDICARE RR IA
CI1302OtherPALMETTO GBA
IADA0675OtherMEDICARE RR IA
098773HEMedicare ID - Type Unspecified