Heather Medema, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

5601003365 Issued in MI

Practice address

436 44TH St SE
Ste a
Grand Rapids, MI 49548-4371

Phone

(616) 531-9750

Fax

(616) 531-9710

NPI assigned

Feb 1, 2007

Sex

Female

Sole proprietor

No

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

Enrolled in MI

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• Signify Health Medical Associates, PLLC

  • General Practice Physician
  • Dallas, TX
  • NPI 1750845863

  MI

  Medicare reassignment

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1433894400000",
    "number": "1326186735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "436 44TH ST SE",
            "address_2": "STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495484371",
            "telephone_number": "616-531-9750",
            "fax_number": "616-531-9710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "436 44TH ST SE",
            "address_2": "STE A",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495484371",
            "telephone_number": "616-531-9750",
            "fax_number": "616-531-9710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEDEMA",
        "first_name": "HEATHER",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-01",
        "last_updated": "2015-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "MI",
            "license": "5601003365",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Olivia Cassie Means, MD
• Kent Measell
• Mecas Angels
• Med Motion Transport LLC
• Med1
• Megan Medendorp, PA-C
• Ashley Elizabeth Medes, B.S.
• Medexpress Urgent Care, PC - Michigan
• Natalie Medic
• Luz Alejandra Medina Molina, BT

• Medical Physician Assistant in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Medical Physician Assistant in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.