Eric Zachary Wehner, MED, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601001061 Issued in MI

Practice address

8452 M 119
Harbor Springs, MI 49740-9595

Phone

(231) 348-7002

NPI assigned

Jan 18, 2017

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Education

State licenses

Practice roles

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.

• Northern Michigan Sports Medicine Center

  • Physical Therapy Clinic/Center
  • Petoskey, MI
  • NPI 1538123906
  NPD (past)

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

{
    "created_epoch": "1484697600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527724800000",
    "number": "1972049617",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8452 M-119 HARBOR PLAZA",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409595",
            "telephone_number": "231-348-7002",
            "fax_number": "231-348-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8452 M 119",
            "city": "HARBOR SPRINGS",
            "state": "MI",
            "postal_code": "497409595",
            "telephone_number": "231-348-7002"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "317 S Elm St",
            "address_purpose": "LOCATION",
            "city": "Owosso",
            "state": "MI",
            "postal_code": "488672636",
            "country_code": "US",
            "telephone_number": "989-723-9488 x2",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WEHNER",
        "first_name": "ERIC",
        "middle_name": "ZACHARY",
        "credential": "MED, ATC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-01-18",
        "last_updated": "2018-05-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601001061",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Keri Jean Vigneau
• Kimberly L Voelker-Samyn, PT
• Diana F Volant, MA, TLLP
• Wendy H. Walker, M.D.
• Jacob Joseph Wardach, APRN
• Damon Craig Whitfield, PT, ATC
• Sarah J Willey, ANP
• William N Zoerhof DDS, PC
• Sara A Wilson
• Sarah Wolf, DO

• Athletic Trainer in Harbor Springs, MI
• Providers in Harbor Springs, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2018; 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.