Active NPI
William Frank Heckert, D.O.
- Dermatology Physician
- Lansing, MI
National Provider Identifier
1730198060
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 5101006399
- 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
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 |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 03-00584 | Other | MI | PHP |
| 0753335364 | Other | MI | BLUE 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101006399 | MI | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| William F Heckert D.O. P.C. | Dermatology | Past | 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.
-
- Dermatology Physician
- Lansing, MI
- NPI 1366690026
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.