Active NPI
Aaron David Eickhoff, MS, AT, ATC
- Athletic Trainer
- Kalamazoo, MI
National Provider Identifier
1235473273
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601001656
- Practice address
- 315 Turwill LN
Kalamazoo, MI 49006-4231 - Phone
- (855) 618-2676
- Fax
- (269) 382-2388
- NPI assigned
- Nov 15, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 36001554A | IN | |
| Athletic Trainer | 2255A2300X | 2601001656 | MI | Primary |
Addresses
Primary practice location
315 Turwill LN
Kalamazoo, MI 49006-4231
Mailing address
315 Turwill LN
Kalamazoo, MI 49006-4231
Phone (855) 618-2676
Other practice location 1
4251 Lahmeyer Rd
Fort Wayne, IN 46815-5676
Phone (260) 432-4700 ext. 107
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)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36001554A | IN | MD | Athletic Trainer |
| 2601001656 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1352937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1540857600000",
"number": "1235473273",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "315 TURWILL LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490064231",
"telephone_number": "855-618-2676",
"fax_number": "269-382-2388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "315 TURWILL LN",
"city": "KALAMAZOO",
"state": "MI",
"postal_code": "490064231",
"telephone_number": "855-618-2676",
"fax_number": "269-382-2388"
}
],
"practiceLocations": [
{
"address_1": "4251 Lahmeyer Rd",
"address_purpose": "LOCATION",
"city": "Fort Wayne",
"state": "IN",
"postal_code": "468155676",
"country_code": "US",
"telephone_number": "260-432-4700 x107",
"fax_number": "260-459-9262",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "EICKHOFF",
"first_name": "AARON",
"middle_name": "DAVID",
"name_prefix": "Mr.",
"credential": "MS, AT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-11-15",
"last_updated": "2018-10-30",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "IN",
"license": "36001554A",
"primary": false
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601001656",
"primary": true
}
],
"identifiers": [],
"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 Oct 30, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.