Active NPI
Anthony James Heidt, DO
- Neuromusculoskeletal Medicine & OMM Physician
- Okemos, MI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Neuromusculoskeletal Medicine & OMM Physician
- License
- 5101022939
- Practice address
- 2154 Commons Pkwy
Okemos, MI 48864-3986 - Phone
- (517) 657-7906
- Fax
- (517) 657-7908
- NPI assigned
- Feb 10, 2014
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Neuromusculoskeletal Medicine & OMM Physician | 204D00000X | 5101022939 | MI | Primary |
| General Practice Physician | 208D00000X | 0102204454 | VA | |
| Student in an Organized Health Care Education/Training Program | 390200000X |
Addresses
Primary practice location
2154 Commons Pkwy
Okemos, MI 48864-3986
Mailing address
2154 Commons Pkwy
Okemos, MI 48864-3986
Phone (517) 657-7906
Other practice location 1
10020 Korengal Valley Blvd
141
Fort Drum, NY 13602-0000
Phone (315) 772-5587
Other practice location 2
4660 S Hagadorn Rd Ste 500
East Lansing, MI 48823-6804
Phone (517) 432-6144
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
Care Compare profile
Medicare Care Compare- Specialty
- Osteopathic Manipulative Medicine
- Education
- Michigan State University College of Osteopathic Medicine, 2014
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2154 Commons Pkwy
Okemos, MI 48864-3986
Phone (517) 657-7906
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5101022939 | MI | MD | Neuromusculoskeletal Medicine & OMM Physician |
| 0102204454 | VA | MD | General Practice Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Manzano-Nunn, PLLC | Current | Accepting new patients | |
| Whole Being Therapy, PLC | Neuromusculoskeletal Medicine & Omm | Current | Accepting new patients |
| Whole Being Therapy | Current | Accepting new patients |
Locations
1215 E Michigan Ave
Lansing, MI 48912
Phone (517) 336-8080
2154 Commons Pkwy
Okemos, MI 48864
Phone (517) 657-7906
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Okemos, MI
- NPI 1659748168
Neuromusculoskeletal Medicine & Omm
-
- Family Medicine Physician
- Okemos, MI
- NPI 1891969465
-
- Primary Care Clinic/Center
- Okemos, MI
- NPI 1982808804
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba University of Michigan Health-Sparrow Lansing
- General Acute Care Hospital
- Lansing, MI
- NPI 1073588711
-
dba Thoracic Cardiovascular Institute
- General Acute Care Hospital
- Lansing, MI
- NPI 1760710719
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1391990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1678752000000",
"number": "1770907867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2154 COMMONS PKWY",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643986",
"telephone_number": "517-657-7906",
"fax_number": "517-657-7908"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2154 COMMONS PKWY",
"city": "OKEMOS",
"state": "MI",
"postal_code": "488643986",
"telephone_number": "517-657-7906",
"fax_number": "517-657-7908"
}
],
"practiceLocations": [
{
"address_1": "10020 Korengal Valley Blvd",
"address_2": "141",
"address_purpose": "LOCATION",
"city": "Fort Drum",
"state": "NY",
"postal_code": "136020000",
"country_code": "US",
"telephone_number": "315-772-5587",
"fax_number": "315-772-5703",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "4660 S Hagadorn Rd Ste 500",
"address_purpose": "LOCATION",
"city": "East Lansing",
"state": "MI",
"postal_code": "488236804",
"country_code": "US",
"telephone_number": "517-432-6144",
"fax_number": "517-432-6150",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEIDT",
"first_name": "ANTHONY",
"middle_name": "JAMES",
"name_prefix": "Dr.",
"credential": "DO",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2014-02-10",
"last_updated": "2023-03-14",
"certification_date": "2023-03-14",
"status": "A"
},
"taxonomies": [
{
"code": "204D00000X",
"taxonomy_group": "",
"desc": "Neuromusculoskeletal Medicine & OMM",
"state": "MI",
"license": "5101022939",
"primary": true
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "VA",
"license": "0102204454",
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Okemos, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 14, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.