Individual provider Active NPI

David Joseph Heichel, M.D.

  • Otolaryngology Physician
  • Marquette, MI
National Provider Identifier
1629010343
Registry record updated Jun 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301083100 Issued in MI
Practice address
1414 W Fair Ave
Suite 130
Marquette, MI 49855-2675
Phone
(906) 225-7660
Fax
(906) 225-7665
NPI assigned
Jun 10, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 4301083100 MI Primary

Addresses

Primary practice location

1414 W Fair Ave
Suite 130
Marquette, MI 49855-2675

Mailing address

1414 W Fair Ave
Suite 130
Marquette, MI 49855-2675
Phone (906) 225-7660

Other identifiers 1

IdentifierTypeStateIssuer
4865320MedicaidMI

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
I20040706001071 MI Practitioner - Otolaryngology 2769469972 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Pittsburgh School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Superior Ear Nose Throat - Audiology and Allergy PCGroup PAC ID 5294187902, 7 clinicians

Practice addresses (Care Compare)

712 Chippewa SQ
Suite 100
Marquette, MI 49855-4825
Phone (906) 225-7660

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301083100MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
St Francis Hospital CurrentSince Feb 20, 2023 Accepting new patients
St. Francis Hospital CurrentSince Feb 20, 2023 Accepting new patients
Superior Ear, Nose & Throat Specialists, PC Current Accepting new patients
Superior Ear, Nose & Throat Specialists. P.C. Otolaryngology CurrentSince Jan 2, 2006 Accepting new patients
St. Francis Hospital Current Accepting new patients
Superior Ear Nose Throat - Audiology & Allergy PC CurrentSince Jun 2, 2024 Accepting new patients
Osf Multi-Specialty Group CurrentSince May 23, 2022 Accepting new patients

Locations

2525 5th Ave S
Escanaba, MI 49829
Phone (906) 233-4276

3409 Ludington St
Ste 104
Escanaba, MI 49829
Phone (906) 786-8343

3409 Ludington St
Ste 203
Escanaba, MI 49829
Phone (906) 428-5403

712 Chippewa Sq
Ste 100
Marquette, MI 49855
Phone (906) 205-4425

1414 W Fair Ave
Ste 130
Marquette, MI 49855
Phone (906) 225-3920

Interoperability endpoints

  • Direct secure messaging: davidheichel@peninsulai.allscriptsdirect.net

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1149897600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277769600000",
    "number": "1629010343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE",
            "address_2": "SUITE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498552675",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEICHEL",
        "first_name": "DAVID",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-10",
        "last_updated": "2010-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301083100",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4865320",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.