Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Heartland Regional Medical Center

Organization Addiction Medicine (Anesthesiology) Physician · NPI 1477575405

Heartland Regional Medical Center is an Addiction Medicine (Anesthesiology) Physician in Saint Joseph, Missouri. Licensed in Missouri. Registered with an NPI since 2006.

Licensed in
MO
In the registry since
2006
Specialties on file
15

Practice location Address checks out

5325 Faraon St
Saint Joseph, MO 64506-3488
Phone: (816) 271-6000
Fax: (816) 271-7678
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Physician (primary) Taxonomy 208D00000X · Licence 426-19 (MO)
Addiction Medicine (Anesthesiology) Physician Taxonomy 207LA0401X
Pain Medicine (Anesthesiology) Physician Taxonomy 207LP2900X · Licence 426-19 (MO)
Emergency Medicine Physician Taxonomy 207P00000X · Licence 426-19 (MO)
Family Medicine Physician Taxonomy 207Q00000X · Licence 426-19 (MO)
Internal Medicine Physician Taxonomy 207R00000X · Licence 426-19 (MO)
Cardiovascular Disease Physician Taxonomy 207RC0000X · Licence 426-19 (MO)
Neurological Surgery Physician Taxonomy 207T00000X · Licence 426-19 (MO)
Obstetrics & Gynecology Physician Taxonomy 207V00000X · Licence 426-19 (MO)
Otolaryngology Physician Taxonomy 207Y00000X · Licence 426-19 (MO)
Physical Medicine & Rehabilitation Physician Taxonomy 208100000X · Licence 426-19 (MO)
Plastic Surgery Physician Taxonomy 208200000X · Licence 426-19 (MO)
Neurology Physician Taxonomy 2084N0400X · Licence 426-19 (MO)
Hospitalist Physician Taxonomy 208M00000X · Licence 426-19 (MO)
Pain Medicine Physician Taxonomy 208VP0000X · Licence 426-19 (MO)

Record details

NPI number1477575405
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Carvell — Director Of Reimbursement · (816) 273-7835
Other names Mosaic Life Care
NPI enumeratedJuly 25, 2006
Last updated in NPPESJuly 7, 2026
Certification dateJuly 7, 2026
Mailing address5325 Faraon St, Saint Joseph, MO 64506-3488