Beth Ann Hedke, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000623 Issued in MI

Practice address

8950 Macomb St
Grosse Ile, MI 48138-1577

Phone

(734) 307-7037

NPI assigned

Mar 15, 2016

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Egger Medical PLLC

  • Pain Clinic/Center
  • Grosse Ile, MI
  • NPI 1134739030
  NPD (past)
• Orthosport Physical Therapy Center, Inc.

  • Physical Therapist
  • Canton, MI
  • NPI 1790980183
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1458000000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1184085375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8950 MACOMB ST",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8950 MACOMB ST",
            "city": "GROSSE ILE",
            "state": "MI",
            "postal_code": "481381577",
            "telephone_number": "734-307-7037"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDKE",
        "first_name": "BETH",
        "middle_name": "ANN",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-15",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000623",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Gregory E Stephens DO PC
• Alexander Griffith
• Ted Gronda
• Grosse Ile Urgent Care PC
• Grosse Ile Urgent Care PC
• Island Compounding Pharmacy
• Carol Jaafar
• Deborah Joseph
• Joyce K Vaclav DO PC
• Amy L.S. Kapala

• Athletic Trainer in Grosse Ile, MI
• Providers in Grosse Ile, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.