Individual provider Active NPI

William Frank Heckert, D.O.

  • Dermatology Physician
  • Lansing, MI
National Provider Identifier
1730198060
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
5101006399 Issued in MI
Practice address
2815 S Pennsylvania Ave
Ste 107
Lansing, MI 48910-3496
Phone
(517) 372-2253
Fax
(517) 372-2287
NPI assigned
Aug 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 5101006399 MI Primary

Addresses

Primary practice location

2815 S Pennsylvania Ave
Ste 107
Lansing, MI 48910-3496

Mailing address

2815 S Pennsylvania Ave
Ste 107
Lansing, MI 48910-3496
Phone (517) 372-2253

Other identifiers 2

IdentifierTypeStateIssuer
03-00584OtherMIPHP
0753335364OtherMIBLUE CROSS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
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.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
5101006399MIMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
William F Heckert D.O. P.C. Dermatology PastSince Sep 19, 2008 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1730198060",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "STE 107",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-372-2253",
            "fax_number": "517-372-2287"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2815 S PENNSYLVANIA AVE",
            "address_2": "STE 107",
            "city": "LANSING",
            "state": "MI",
            "postal_code": "489103496",
            "telephone_number": "517-372-2253",
            "fax_number": "517-372-2287"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HECKERT",
        "first_name": "WILLIAM",
        "middle_name": "FRANK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MI",
            "license": "5101006399",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHP",
            "identifier": "03-00584",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "0753335364",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lansing, MI

Sources for this page

Verify at the official NPI Registry.