ORTHOPEDIC ASSOCIATES OF PORT HURON, PC (NPI# 1144628009) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144628009 |
| Entity Type | Organization |
| Organization Name | ORTHOPEDIC ASSOCIATES OF PORT HURON, PC |
| Practice Address |
940 River Centre Dr Port Huron MI 48060-4463 |
| Practice Telephone | 8109854900 |
| Practice Fax Number | 8109853634 |
| Mailing Telephone | 8109854900 |
| Mailing Fax Number | 8109853634 |
| Enumeration Date | 2014-12-09 |
| Last Update Date | 2014-12-15 |
| Authorized Official Name | STEVEN J HEITHOFF (PHYSICIANS) |
| Authorized Official Telephone | 8109854900 |
| Authorized Official Credential | DO |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
Allopathic & Osteopathic Physicians |
| Street Address |
940 RIVER CENTRE DR |
| City | PORT HURON |
| State | MI |
| Zip Code | 48060-4463 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376544593 | Steven J Heithoff | Orthopaedic Surgery | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2005-08-10 |
| 1285116202 | Kelsay Kristine Payton | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060 | 2018-09-06 |
| 1275079758 | Ashley Stevenson | Physical Therapist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2017-01-09 |
| 1093265225 | Ashley Lauren Turner | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2016-10-12 |
| 1346612447 | Amanda Whymer | Nurse Practitioner | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2015-10-28 |
| 1528440203 | Shelby Conard | Specialist/Technologist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2015-06-18 |
| 1023433158 | Joshua Bosley Kiba | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2014-02-26 |
| 1104103928 | Laura Ann Kinsley | Physical Therapist | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2011-11-08 |
| 1992008759 | Kathryn Cpak | Physician Assistant | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2010-12-15 |
| 1649409020 | William Mckenna Braaksma | Orthopaedic Surgery | 940 River Centre Dr, Port Huron, MI 48060-4463 | 2009-07-07 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897297 | Casey Edward Bicker | Behavior Technician | 3245 Keewahdin Rd; Fort Gratiot, Mi 48059, Port Huron, MI 48060 | 2020-09-29 |
| 1962032078 | Brianne Salchert | Peer Specialist | 1170 Michigan Rd., Port Huron, MI 48060 | 2020-01-17 |
| 1982123006 | Kenneth Shine Heuvelman | Counselor | 3522 Holland Park Ln, Port Huron, MI 48060 | 2017-09-11 |
| 1346767506 | Kelly Baker | Social Worker | 520 Superior St., Port Huron, MI 48060 | 2017-08-28 |
| 1326418609 | Jean Burleigh | Chore Provider | 614 Staton, Port Huron, MI 48060 | 2015-09-30 |
| 1205242161 | Lisa Gray | Counselor | 2885 W Rick Dr, Port Huron, MI 48060 | 2014-07-10 |
| 1861758880 | Aaron Overly | Surgery | 2609 Electric Ave Ste B&, Port Huron, MI 48060 | 2012-04-03 |
| 1942591508 | S Akram Ali | Surgery | 3270 Waldheim Dr, Port Huron, MI 48060 | 2011-04-29 |
| 1417258179 | Nicholas Alexander Tobianski | Physician Assistant | 3550 Pine Grove Avenue, Port Huron, MI 48060 | 2010-11-11 |
| 1598092769 | Blue Water Pharmacy LLC | Pharmacy | 1524 10th Street, Port Huron, MI 48060 | 2009-11-10 |
| Find all providers in zip 48060 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144313370 | Kaneez Batool Shaikh | Radiology | 1530 Pine Grove Avenue, Suite 7, Port Huron, MI 48060 | 2006-10-02 |
| 1578819850 | Mawan Shuayto Md PC | Radiology | 1201 Stone St, Suite 8, Port Huron, MI 48060-3563 | 2012-07-24 |
| 1821392820 | Rishi Duggal | Radiology | 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060-3370 | 2011-01-05 |
| 1396991451 | Pranay Uppuluri | Radiology | 1221 Pine Grove Avenue, Port Huron, MI 48061-5011 | 2008-08-08 |
| 1801967583 | X-ray Associates of Port Huron PC | Radiology | 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | 2006-11-13 |
| 1790797090 | Jose A Carrion | Radiology | 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | 2006-08-13 |
| 1861404618 | John J Ference | Radiology | 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060 | 2006-08-12 |
| 1205848058 | Frederick W Coop | Radiology | 1530 Pine Grove Ave, Suite 7, Port Huron, MI 48060 | 2006-08-12 |
| 1033121892 | David P Tracy | Radiology | 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | 2006-08-12 |
| 1942212709 | Leopold M Fregoli | Radiology | 1530 Pine Grove Ave, Ste 7, Port Huron, MI 48060 | 2006-08-12 |
| Find all providers in PORT HURON | ||||
| City | PORT HURON |
| Zip Code | 48060 |
Please comment or provide details below to improve the information on ORTHOPEDIC ASSOCIATES OF PORT HURON, PC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.