Active NPI
Matthew Paul Herrema, MS, AT, ATC
- Athletic Trainer
- Rochester, MI
National Provider Identifier
1396008728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 2601000708
- Practice address
- 2200 N Squirrel Rd
Rochester, MI 48309-4402 - Phone
- (248) 370-3998
- NPI assigned
- Jun 20, 2012
- Last updated
- Jun 20, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 2601000708 | MI | Primary |
Addresses
Primary practice location
2200 N Squirrel Rd
Rochester, MI 48309-4402
Mailing address
644 Sheffield Rd
Auburn Hills, MI 48326-3527
Phone (616) 780-2134
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 |
|---|---|---|---|
| 2601000708 | MI | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1340150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1340150400000",
"number": "1396008728",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "644 SHEFFIELD RD",
"city": "AUBURN HILLS",
"state": "MI",
"postal_code": "483263527",
"telephone_number": "616-780-2134"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2200 N SQUIRREL RD",
"city": "ROCHESTER",
"state": "MI",
"postal_code": "483094402",
"telephone_number": "248-370-3998"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERREMA",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"credential": "MS, AT, ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-06-20",
"last_updated": "2012-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MI",
"license": "2601000708",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rochester, MI
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital (Henry Ford Rochester Hospital)
- Henry Ford Health Rochester Hospital
- Henry Ford Health Rochester Hospital
- Tyler Scott Hershenhouse
- Amanda C Hessenauer, AU.D.
- Monica Hessler-Waning, MD
- Lindley Higham, OD
- Kort Highducheck
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.