Active NPI
Jonathan Mark Heckman, D.O.
- Pediatrics Physician
- Inkster, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 5101021954
- Practice address
- 2700 Hamlin Blvd
Inkster, MI 48141-2206 - Phone
- (313) 561-5100
- NPI assigned
- Apr 20, 2015
- Last updated
- Apr 14, 2026
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NU | ||
| Pediatrics Physician | 208000000X | 5101021954 | MI | Primary |
Addresses
Primary practice location
2700 Hamlin Blvd
Inkster, MI 48141-2206
Mailing address
2700 Hamlin Blvd
Inkster, MI 48141-2206
Phone (313) 561-5100
Other practice location 1
26650 Eureka Rd Ste C
Taylor, MI 48180-4835
Phone (734) 941-4991
Other practice location 2
3031 W Grand Blvd
Suite 450
Detroit, MI 48202-3046
Phone (313) 871-3751
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101021954 | MI | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Wayne Family Health Centers | Current | Accepting new patients | |
| Western Wayne Family Health Centers | Current | Accepting new patients | |
| Western Wayne Family Health Centers | Past | Accepting new patients | |
| Western Wayne Family Health Centers | Past | Accepting new patients | |
| Partners in Wellness | Past | Accepting new patients | |
| Detroit Wayne County Health Authority | Past | Accepting new patients |
Locations
4700 Schaefer Rd
Ste 245
Dearborn, MI 48126
Phone (313) 561-5100
2700 Hamlin Blvd
Inkster, MI 48141
Phone (313) 561-5100
25650 Outer Dr
Lincoln Park, MI 48146
Phone (313) 294-1515
26650 Eureka Rd
#C1
Taylor, MI 48180
Phone (734) 941-4991
26650 Eureka Rd
Ste C
Taylor, MI 48180
Phone (734) 941-4991
26650 Eureka Rd
Ste C1
Taylor, MI 48180
Phone (734) 941-4991
Interoperability endpoints
- https://api.platform.athenahealth.com/17288/brand/1/csg/1/fhir/r4
- https://api.platform.athenahealth.com/19827/brand/1/csg/1/fhir/r4
- jheckman315524@direct.hfhs.org
- jonathan.heckman.1@17288.direct.athenahealth.com
Organizations & group practices 6
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.
-
- Federally Qualified Health Center (FQHC)
- Inkster, MI
- NPI 1972530277
-
dba Western Wayne Family Health Centers - Ecorse Schools
- Federally Qualified Health Center (FQHC)
- Ecorse, MI
- NPI 1316510860
-
- Primary Care Clinic/Center
- Detroit, MI
- NPI 1962733089
-
- Family Medicine Physician
- Detroit, MI
- NPI 1518461524
-
- Federally Qualified Health Center (FQHC)
- Taylor, MI
- NPI 1023250412
-
- Federally Qualified Health Center (FQHC)
- Lincoln Park, MI
- NPI 1508280116
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776124800000",
"number": "1578950283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2700 HAMLIN BLVD",
"city": "INKSTER",
"state": "MI",
"postal_code": "481412206",
"telephone_number": "313-561-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2700 HAMLIN BLVD",
"city": "INKSTER",
"state": "MI",
"postal_code": "481412206",
"telephone_number": "313-561-5100"
}
],
"practiceLocations": [
{
"address_1": "26650 Eureka Rd Ste C",
"address_purpose": "LOCATION",
"city": "Taylor",
"state": "MI",
"postal_code": "481804835",
"country_code": "US",
"telephone_number": "734-941-4991",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3031 W Grand Blvd",
"address_2": "Suite 450",
"address_purpose": "LOCATION",
"city": "Detroit",
"state": "MI",
"postal_code": "482023046",
"country_code": "US",
"telephone_number": "313-871-3751",
"fax_number": "313-879-6960",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HECKMAN",
"first_name": "JONATHAN",
"middle_name": "MARK",
"credential": "D.O.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-04-20",
"last_updated": "2026-04-14",
"certification_date": "2026-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MI",
"license": "5101021954",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Inkster, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2026; 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.