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DR. JACK HEETHOUSE D.O.
NPI 1679523674
Specialist in Muskegon, MI

Active since May 11, 2006
1400 MERCY DR., SUITE 100, MUSKEGON, MI 49444(231) 733-1326(231) 733-5212 Get Directions Write a Review

NPPES record last updated: November 13, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jack Heethouse D.o. NPPES

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

DR. JACK HEETHOUSE D.O. (NPI 1679523674) is an individual specialist in Muskegon, Michigan, licensed in Michigan (5101012999) and active in the NPI registry since May 2006.

NPPES Registry Identity

NPI1679523674
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameDR. JACK HEETHOUSECredential: D.O.
Location Address1400 MERCY DR., SUITE 100Muskegon, MI 49444
Mailing Address1400 Mercy Dr., Suite 100Michigan, MI 49444 · (231) 733-1326 · Fax (231) 733-5212
Phone(231) 733-1326
Fax(231) 733-5212
Sole ProprietorYes
Enumeration DateMay 11, 2006
Last NPPES UpdateNovember 13, 2012
✔ NPI 1679523674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in MI · 5101012999
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
1400 MERCY DR., Muskegon, MI 49444
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Other Identifiers 3

Medicare UPINH40569MI
Medicaid4308380MI
Medicare ID-Type UnspecifiedON30160MA · Medicare Provider #

Other Providers at the Same Location NPPES 7

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

JEFFERSON CHRISTOPHER EYKE M.D.
Orthopaedic Surgery
1400 MERCY DR.
MUSKEGON, MI 49444
Muskegon County (231) 733-1326
JEFFREY D RECKNAGEL M.D.
Orthopaedic Surgery
1400 MERCY DR.
MUSKEGON, MI 49444
Muskegon County (231) 733-1326
REGINALD W KAPTEYN DO
Physical Medicine & Rehabilitation
1400 MERCY DR., SUITE 100
MUSKEGON, MI 49444
Muskegon County (231) 830-2729
ANTHONY WILSON M.D.
Physical Medicine & Rehabilitation
1400 MERCY DR., SUITE 100
MUSKEGON, MI 49444
Muskegon County (231) 733-1326
MARTIN M PALLANTE MD
Orthopaedic Surgery
1400 MERCY DR., SUITE 100
MUSKEGON, MI 49444
Muskegon County (231) 733-1326
YOUSIF I HAMATI M.D.
Orthopaedic Surgery
1400 MERCY DR., SUITE 100
MUSKEGON, MI 49444
Muskegon County (231) 733-1326
MARK J.R. MOULTON M.D.
Orthopaedic Surgery
1400 MERCY DR.
MUSKEGON, MI 49444
Muskegon County (231) 733-1326

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's NPI number?

The NPI number for Jack Heethouse is 1679523674. It was assigned to this individual provider in the NPPES registry on May 11, 2006.

Where is Jack Heethouse located?

Jack Heethouse practices at 1400 Mercy Dr. Suite 100, Muskegon, MI 49444. The listed phone number is (231) 733-1326.

What is Jack Heethouse's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Jack Heethouse was last updated on November 13, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.