Individual provider Active NPI

Amy B Heeringa, M.D.

  • Obstetrics & Gynecology Physician
  • Rochester Hills, MI
National Provider Identifier
1427291707
Registry record updated Aug 13, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
4301103643 Issued in MI
Practice address
1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122
Phone
(248) 997-5805
Fax
(248) 997-5811
NPI assigned
Apr 15, 2009
Last updated
Aug 13, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 4301103643 MI Primary

Addresses

Primary practice location

1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122

Mailing address

1701 South Blvd E
Suite 200
Rochester Hills, MI 48307-6122
Phone (248) 997-5805

Other names 1

  • Amy Bicknel Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20131203002191 MI Practitioner - Obstetrics/Gynecology 4082840616 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
University of Michigan Medical School, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Oakland Macomb Obstetrics and Gynecology PCGroup PAC ID 4183673015, 23 clinicians

Practice addresses (Care Compare)

1701 S Blvd E
Rochester Hills, MI 48307-6116
Phone (248) 997-5805

1701 S Blvd E
Suite 350
Rochester Hills, MI 48307-6117
Phone (248) 997-5805

1701 S Blvd E
Suite LL50
Rochester Hills, MI 48307-6122
Phone (248) 218-4084

4550 Investment Dr
Troy, MI 48098-6334
Phone (248) 218-4073

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
William Beaumont Hospital Current Accepting new patients
William Beaumont Hospital CurrentSince Aug 9, 2024 Accepting new patients
Anesthesia Associates of Ann Arbor, PLLC Past Accepting new patients

Locations

3601 W 13 Mile Rd
Royal Oak, MI 48073

44201 Dequindre Rd
Troy, MI 48085
Phone (248) 471-8255

Interoperability endpoints

  • Direct secure messaging: amyheeringa@omog.allscriptsdirect.net

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1239753600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1376352000000",
    "number": "1427291707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-997-5805",
            "fax_number": "248-997-5811"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 SOUTH BLVD E",
            "address_2": "SUITE 200",
            "city": "ROCHESTER HILLS",
            "state": "MI",
            "postal_code": "483076122",
            "telephone_number": "248-997-5805",
            "fax_number": "248-997-5811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEERINGA",
        "first_name": "AMY",
        "middle_name": "B",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-04-15",
        "last_updated": "2013-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "MI",
            "license": "4301103643",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMY",
            "last_name": "BICKNEL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rochester Hills, MI

Sources for this page

Verify at the official NPI Registry.