Ringside MDS-Michigan PLLC

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

Legal business name

RINGSIDE MDS-MICHIGAN PLLC

Practice address

6535 Bates Rd
Williamsburg, MI 49690-9527

Phone

(561) 247-2373

NPI assigned

May 16, 2023

Organization subpart

No

Name

Dr. Jason Hechtman, MD

Title

Secretary

Phone

(813) 205-0136

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Aug 17, 2023.

{
    "created_epoch": "1684195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1692230400000",
    "number": "1235820705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 S STATE ROAD 7 STE 104",
            "city": "WELLINGTON",
            "state": "FL",
            "postal_code": "334144386",
            "telephone_number": "561-247-2373",
            "fax_number": "567-823-3495"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6535 BATES RD",
            "city": "WILLIAMSBURG",
            "state": "MI",
            "postal_code": "496909527",
            "telephone_number": "561-247-2373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RINGSIDE MDS-MICHIGAN PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-16",
        "last_updated": "2023-08-17",
        "certification_date": "2023-08-17",
        "status": "A",
        "authorized_official_last_name": "HECHTMAN",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "SECRETARY",
        "authorized_official_telephone_number": "813-205-0136",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Williamsburg, MI
• General Practice Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.