NPIMap

Individual provider Active NPI

Philip David Heichel, M.D.

  • Otolaryngology Physician
  • Marquette, MI
National Provider Identifier
1790132504
Registry record updated Aug 2, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
4301504836 Issued in MI
Practice address
1414 W Fair Ave Ste 130
Marquette, MI 49855-5408
Phone
(906) 225-7660
Fax
(906) 225-7660
NPI assigned
May 21, 2016
Last updated
Aug 2, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 2, 2021

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 4301504836 MI Primary

Addresses

Primary practice location

1414 W Fair Ave Ste 130
Marquette, MI 49855-5408

Mailing address

1414 W Fair Ave Ste 130
Marquette, MI 49855-5408
Phone (906) 225-7660

Other practice location 1

901 Lakeshore Dr Ste 102
Ishpeming, MI 49849-1367
Phone (906) 485-2710

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210727003182 MI Practitioner - Otolaryngology 7416350517 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Michigan State University College of Human Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
St Francis HospitalGroup PAC ID 5991604753, 85 clinicians
Superior Ear Nose Throat - Audiology and Allergy PCGroup PAC ID 5294187902, 7 clinicians

Practice addresses (Care Compare)

3409 Ludington St
Suite 104
Escanaba, MI 49829-4213
Phone (906) 786-8343

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

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301504836MIMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Superior Ear, Nose & Throat Specialists. P.C. Otolaryngology CurrentSince Aug 1, 2021 Accepting new patients
Superior Ear, Nose & Throat Specialists, PC Current Accepting new patients
Superior Ear Nose Throat - Audiology & Allergy PC CurrentSince Nov 14, 2023 Accepting new patients
St. Francis Hospital CurrentSince Feb 6, 2025 Accepting new patients
St. Francis Hospital Current Accepting new patients
St Francis Hospital CurrentSince Feb 6, 2025 Accepting new patients

Locations

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

901 Lakeshore Dr
Ste 102
Ishpeming, MI 49849
Phone (906) 225-4512

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

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

Interoperability endpoints

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

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1463788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1627862400000",
    "number": "1790132504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 W FAIR AVE STE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555408",
            "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 STE 130",
            "city": "MARQUETTE",
            "state": "MI",
            "postal_code": "498555408",
            "telephone_number": "906-225-7660",
            "fax_number": "906-225-7660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "901 Lakeshore Dr Ste 102",
            "address_purpose": "LOCATION",
            "city": "Ishpeming",
            "state": "MI",
            "postal_code": "498491367",
            "country_code": "US",
            "telephone_number": "906-485-2710",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEICHEL",
        "first_name": "PHILIP",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-21",
        "last_updated": "2021-08-02",
        "certification_date": "2021-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MI",
            "license": "4301504836",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marquette, MI

Sources for this page

Verify at the official NPI Registry.