Heartland Family Physicains Clinic
NPI 1205966645 · Family Medicine Physician · Jackson, MO
Heartland Family Physicains Clinic is a Family Medicine Physician organization in Jackson, MO (NPI 1205966645).
Provider details
- NPI number
- 1205966645
- Entity type
- Organization
- Primary specialty
- Family Medicine PhysicianAllopathic & Osteopathic Physicians
- Organization subpart
- No
- Authorized official
- Ramiro Icaza, Adminstrator57352433115
- License
- MDR7D79 (MO)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-03-06
- Last updated
- 2010-09-22
Frequently asked questions
- What is Heartland Family Physicains Clinic's NPI number?
- Heartland Family Physicains Clinic's National Provider Identifier (NPI) is 1205966645, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Heartland Family Physicains Clinic?
- Heartland Family Physicains Clinic is classified in the NPPES registry as Family Medicine Physician (Allopathic & Osteopathic Physicians).
- Where is Heartland Family Physicains Clinic located?
- Heartland Family Physicains Clinic's practice location on file with NPPES is 2130 E Jackson Blvd, Jackson, MO 63755-2907.
- What is Heartland Family Physicains Clinic's phone number?
- The practice phone number listed in the NPPES registry for Heartland Family Physicains Clinic is (573) 243-3115.
- Who is the authorized official for Heartland Family Physicains Clinic?
- The authorized official listed on Heartland Family Physicains Clinic's NPPES record is Ramiro Icaza, Adminstrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Heartland Family Physicains Clinic's NPI active?
- Yes — Heartland Family Physicains Clinic's NPI (1205966645) is active in the NPPES registry as of the last update on 2010-09-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.