Individual provider Active NPI

Meghan M Hescheles, AT, ATC, PTA

  • Sports Medicine (Emergency Medicine) Physician
  • Frankfort, MI
National Provider Identifier
1770832131
Registry record updated Sep 29, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Medicine (Emergency Medicine) PhysicianTaxonomy code 207PS0010X
License
2601000998 Issued in MI
Practice address
224 Park Ave
Frankfort, MI 49635-9658
Phone
(231) 325-2203
NPI assigned
Aug 31, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 29, 2020

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Medicine (Preventive Medicine) Physician 2083S0010X 60288345 WA
Physical Therapy Assistant 225200000X 5502005737 MI
Sports Medicine (Emergency Medicine) Physician 207PS0010X 2601000998 MI Primary

Addresses

Primary practice location

224 Park Ave
Frankfort, MI 49635-9658

Mailing address

8345 Foster Rd
Clarkston, MI 48346-1957
Phone (248) 245-8155

Other identifiers 2

IdentifierTypeStateIssuer
5502005737OtherMILARA
2601000998OtherMILARA

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2601000998MIMDSports Medicine (Emergency Medicine) Physician
60288345WAMDSports Medicine (Preventive Medicine) Physician
5502005737MIMDPhysical Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1346371200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601337600000",
    "number": "1770832131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8345 FOSTER RD",
            "city": "CLARKSTON",
            "state": "MI",
            "postal_code": "483461957",
            "telephone_number": "248-245-8155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "224 PARK AVE",
            "city": "FRANKFORT",
            "state": "MI",
            "postal_code": "496359658",
            "telephone_number": "231-325-2203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESCHELES",
        "first_name": "MEGHAN",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "AT, ATC, PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-31",
        "last_updated": "2020-09-29",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2083S0010X",
            "taxonomy_group": "",
            "desc": "Preventive Medicine, Sports Medicine",
            "state": "WA",
            "license": "60288345",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MI",
            "license": "5502005737",
            "primary": false
        },
        {
            "code": "207PS0010X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine, Sports Medicine",
            "state": "MI",
            "license": "2601000998",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "5502005737",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LARA",
            "identifier": "2601000998",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frankfort, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 29, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.