JACK HEETHOUSE DO PLLC
NPI 1538354964
Orthopaedic Surgery in Muskegon, MI

Active since September 10, 2007
1675 LEAHY ST, SUITE 120, MUSKEGON, MI 49442(231) 722-7245(231) 722-6103 Get Directions Write a Review

NPPES record last updated: November 6, 2007. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jack Heethouse Do Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JACK HEETHOUSE DO PLLC (NPI 1538354964) is a healthcare organization registered as an orthopaedic surgery in Muskegon, Michigan and active in the NPI registry since September 2007. The organization lists Jack W Heethouse, Owner, as its authorized official.

NPPES Registry Identity

NPI1538354964
Entity TypeOrganization
Primary Taxonomy207X00000X
Legal Business NameJACK HEETHOUSE DO PLLC
Location Address1675 LEAHY ST, SUITE 120Muskegon, MI 49442-5500
Mailing Address1675 Leahy St, Suite 120Muskegon, MI 49442-5500 · (231) 722-7245 · Fax (231) 722-6103
Fax(231) 722-6103
Organization SubpartNo
Authorized OfficialJack W HeethouseOwner · (231) 722-7245
Enumeration DateSeptember 10, 2007
Last NPPES UpdateNovember 6, 2007
✔ NPI 1538354964 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyOrthopaedic SurgeryAllopathic & Osteopathic Physicians
Taxonomy Code207X00000X
License✔ Licensed in MI · 5101012999
Definition
An orthopaedic surgeon is trained in the preservation, investigation and restoration of the form and function of the extremities, spine and associated structures by medical, surgical and physical means. An orthopaedic surgeon is involved with the care of patients whose musculoskeletal problems include congenital deformities, trauma, infections, tumors, metabolic disturbances of the musculoskeletal system, deformities, injuries and degenerative diseases of the spine, hands, feet, knee, hip, shoulder and elbow in children and adults. An orthopaedic surgeon is also concerned with primary and secondary muscular problems and the effects of central or peripheral nervous system lesions of the musculoskeletal system.
1675 LEAHY ST, Muskegon, MI 49442

Other Identifiers 3

Medicare UPINH40569MI
Medicaid4308380MI
Medicare PINN30160001MI

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Family Medicine
1675 LEAHY ST, STE 301
MUSKEGON, MI 49442
Physician Assistant
1675 LEAHY ST, SUITE 324B
MUSKEGON, MI 49442
Colon & Rectal Surgery
1675 LEAHY ST, SUITE 300 - B
MUSKEGON, MI 49442
Surgery (Plastic and Reconstructive Surgery)
1675 LEAHY ST, SUITE 328
MUSKEGON, MI 49442
Physician Assistant
1675 LEAHY ST, SUITE 324B
MUSKEGON, MI 49442
Pharmacist
1675 LEAHY ST, STUITE 111
MUSKEGON, MI 49442
Specialist/Technologist (Athletic Trainer)
1675 LEAHY ST, SUITE 200
MUSKEGON, MI 49442
Family Medicine
1675 LEAHY ST, STE 301
MUSKEGON, MI 49442

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jack Heethouse Do PLLC's NPI number?

The NPI number for Jack Heethouse Do PLLC is 1538354964. It was assigned to this organization in the NPPES registry on September 10, 2007.

Where is Jack Heethouse Do PLLC located?

Jack Heethouse Do PLLC is located at 1675 Leahy St Suite 120, Muskegon, MI 49442. The listed phone number is (231) 722-7245.

What is Jack Heethouse Do PLLC's specialty?

The primary specialty registered for this NPI is Orthopaedic Surgery with taxonomy code 207X00000X.

When was this NPI record last updated?

The NPPES record for Jack Heethouse Do PLLC was last updated on November 6, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.