Active NPI
Marc William Hinze, M.P.T.
- Physical Therapist
- Kalamazoo, MI
National Provider Identifier
1104866573
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5501011803
- Practice address
- 4613 W Main St
Suite C
Kalamazoo, MI 49006-2645 - Phone
- (269) 488-8360
- Fax
- (269) 488-8359
- NPI assigned
- Jun 7, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5501011803 | MI | Primary |
Addresses
Primary practice location
4613 W Main St
Suite C
Kalamazoo, MI 49006-2645
Mailing address
4613 W Main St
Suite C
Kalamazoo, MI 49006-2645
Phone (269) 488-8360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 650C901900 | Other | MI | BCBS |
| 155812 | Other | GREAT LAKES HLTH PLAN | |
| 7173604 | Other | AETNA PIN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthcare Midwest PC | Past | Accepting new patients | |
| Healthcare Midwest PC | Past | Accepting new patients | |
| Healthcare Midwest PC | Past | Accepting new patients | |
| Healthcare Midwest PC | Physical Therapist | Past | Accepting new patients |
| Healthcare Midwest PC | Past | Accepting new patients | |
| Healthcare Midwest PC | Past | Accepting new patients | |
| Healthcare Midwest PC | Past | Accepting new patients | |
| Healthcare Midwest PC | Past | Accepting new patients |
Organizations & group practices 8
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1093936999
-
- Urology Physician
- Kalamazoo, MI
- NPI 1215158191
-
- Surgery Physician
- Kalamazoo, MI
- NPI 1245451129
-
- Orthopaedic Hand Surgery Physician
- Kalamazoo, MI
- NPI 1265653158
-
- Otolaryngology Physician
- Kalamazoo, MI
- NPI 1285855189
-
- Internal Medicine Physician
- Kalamazoo, MI
- NPI 1306067285
-
- Physical Therapist
- Kalamazoo, MI
- NPI 1356379374
-
- Orthopaedic Surgery Physician
- Kalamazoo, MI
- NPI 1992926877
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149638400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1294358400000",
"number": "1104866573",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4613 W MAIN ST",
"address_2": "SUITE C",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062645",
"telephone_number": "269-488-8360",
"fax_number": "269-488-8359"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4613 W MAIN ST",
"address_2": "SUITE C",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490062645",
"telephone_number": "269-488-8360",
"fax_number": "269-488-8359"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINZE",
"first_name": "MARC",
"middle_name": "WILLIAM",
"name_prefix": "Mr.",
"credential": "M.P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-07",
"last_updated": "2011-01-07",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MI",
"license": "5501011803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "650C901900",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GREAT LAKES HLTH PLAN",
"identifier": "155812",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PIN",
"identifier": "7173604",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kalamazoo, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.