MEDICARE: HEARTLAND PLASTIC SURGERY LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208200000X	Plastic Surgery Physician

General Provider Information

NPI Number	:	1386535672
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEARTLAND PLASTIC SURGERY LLC

Provider Business Mailing Address
First Line	:	4817 E DOUGLAS AVE STE 200
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-1019
Country	:	US
Telephone Number	:	316-241-8363
Fax Number	:

Provider Business Practice Location Address
First Line	:	4817 E DOUGLAS AVE STE 200
Second Line	:
City	:	WICHITA
State	:	KS
Zip	:	67218-1019
Country	:	US
Telephone Number	:	316-241-8363
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	NATALIYA BISKUP
Credential	:	MD
Telephone Number	:	316-241-8363

Provider Enumeration Date	:	07/14/2025
Last Update Date	:	12/18/2025

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Directions to “HEARTLAND PLASTIC SURGERY LLC ” Practice Location

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