# HEARTLAND ORTHOPEDIC SPECIALISTS

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295835247
- **Authorized official:** MR. MICHAEL S DOYLE (ADMINISTRATOR)
- **Authorized official phone:** (320) 762-1144

## Contact information

- **Practice address:** 111 17TH AVE E, SUITE 101, ALEXANDRIA, MN 56308-3703
- **Practice address phone:** (320) 762-1144
- **Practice address fax:** (320) 762-1935
- **Mailing address:** 111 17TH AVE E, SUITE 101, ALEXANDRIA, MN 56308-3734
- **Mailing address phone:** (320) 762-1144
- **Mailing address fax:** (320) 762-1935

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207X00000X | Orthopaedic Surgery Physician | — | NULL | Yes |
| 207X00000X | Orthopaedic Surgery Physician | — | — | Yes |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | NULL | — |
| 213ES0103X | Foot & Ankle Surgery Podiatrist | — | — | — |
| 225100000X | Physical Therapist | — | NULL | — |
| 225100000X | Physical Therapist | — | — | — |
| 2255A2300X | Athletic Trainer | — | NULL | — |
| 2255A2300X | Athletic Trainer | — | — | — |
| 363A00000X | Physician Assistant | — | NULL | — |
| 363A00000X | Physician Assistant | — | — | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 09/22/2006
- **Last updated:** 01/27/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 104667 | UCARE | — |
| 01 | — | 30701054 | PRIMEWEST | — |
| 01 | — | 564 | LICENSE | MN |
| 01 | — | 61006AL | BC/BS | — |
| 05 | — | 888210000 | — | MN |
| 01 | — | CP4310 | TRAVELERS MEDICARE | MN |