DR. MATTHEW W HECKLER (NPI# 1164634689) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164634689 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW W HECKLER |
| Credential | DO |
| Practice Address |
7677 Yankee St Suite 110 Centerville OH 45459-3475 |
| Mailing Address |
Po Box 713130 Cincinnati OH 45271-0001 |
| Practice Telephone | 9374280400 |
| Practice Fax Number | 9374159191 |
| Mailing Telephone | 9374159100 |
| Mailing Fax Number | 9374159191 |
| Enumeration Date | 2007-05-04 |
| Last Update Date | 2011-01-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207XX0005X |
Orthopaedic Surgery Specialization: Sports Medicine |
9585 | OH | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| OH | RR MEDICARE | P00871995 | 01 |
| OH | 3046448 | 05 |
| Street Address |
7677 YANKEE ST SUITE 110 |
| City | CENTERVILLE |
| State | OH |
| Zip Code | 45459-3475 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235111352 | Tarah Barrios | Physical Therapist | 7677 Yankee St, Centerville, OH 45459-3475 | 2005-11-15 |
| 1023521085 | Kayla Michelle Fryman | Physician Assistant | 7677 Yankee St, Centerville, OH 45459-3475 | 2017-11-13 |
| 1083073472 | Kyle Lipscomb | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2016-02-15 |
| 1609272137 | Austin List | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2014-11-11 |
| 1902213630 | Alex Brummett | Specialist/Technologist | 7677 Yankee St, Centerville, OH 45459-3475 | 2014-07-15 |
| 1699107656 | Symone Mcelroy | Specialist/Technologist | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2013-08-01 |
| 1407114275 | Nikki Bennett | Specialist/Technologist | 7677 Yankee St, Centerville, OH 45459-3475 | 2012-04-30 |
| 1386965044 | Orthopedic Associates of S W Ohio, Inc | Orthopaedic Surgery | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2010-06-17 |
| 1801850334 | Mark S Klug | Orthopaedic Surgery | 7677 Yankee St, Suite 110, Centerville, OH 45459-3475 | 2006-04-13 |
| 1851365472 | Fidelity Orthopedic Inc | Durable Medical Equipment & Medical Supplies | 7677 Yankee St, Suite 210, Centerville, OH 45459-3475 | 2006-02-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659917466 | Sarai Burke Robinson | Occupational Therapist | 2200 Miami Valley Rd, Dayton, OH 45459 | 2019-11-27 |
| 1689179855 | Paragon Infusion Therapy, LLC | Durable Medical Equipment & Medical Supplies | 1746 Thomas Paine Pkwy, Centerville, OH 45459 | 2018-03-28 |
| 1922555473 | Hannah Gualtieri | Specialist/Technologist | Miami Valley Drive, Suite 320, Centerville, OH 45459 | 2016-09-01 |
| 1326410028 | Kathleen E Dorsten | Counselor | 37 Irongate Park Dr, Centerville, OH 45459 | 2015-10-21 |
| 1184000846 | Valeriya Falkenshtern | Specialist/Technologist | 2400 Miami Valley Drive, Newborn Hearing Screens, Dayton, OH 45459 | 2015-08-05 |
| 1700169331 | Monica Lynn Carrico | Registered Nurse | 7625 Paragon Road Suite C, Dayton, OH 45459 | 2011-09-20 |
| 1427360080 | Tonia S Campbell | Physical Therapist | 1235 E. Alex Bell Road, Centerville, OH 45459 | 2010-07-11 |
| 1265768956 | Health At Home, LLC | Home Health | 6443 Bethany Village Drive, Dayton, OH 45459 | 2009-10-30 |
| 1881826337 | Annetta Jean Davis | Social Worker | 7950 Clyo Road, Centerville, OH 45459 | 2009-08-18 |
| 1740459783 | Ryan A Long | Dentist | 2591 Miamisburg-centerville Rd, Suite 200, Dayton, OH 45459 | 2008-02-25 |
| Find all providers in zip 45459 | ||||
| Taxonomy Code | 207XX0005X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Orthopaedic Surgery |
| Specialization | Sports Medicine |
| An orthopaedic surgeon trained in sports medicine provides appropriate care for all structures of the musculoskeletal system directly affected by participation in sporting activity. This specialist is proficient in areas including conditioning, training and fitness, athletic performance and the impact of dietary supplements, pharmaceuticals, and nutrition on performance and health, coordination of care within the team setting utilizing other health care professionals, field evaluation and management, soft tissue biomechanics and injury healing and repair. Knowledge and understanding of the principles and techniques of rehabilitation, athletic equipment and orthotic devices enables the specialist to prevent and manage athletic injuries. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton changed, source changed] Additional Resources: American Board of Orthopaedic Surgery, 2007. http://www.abos.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Orthopaedic Surgery. ACGME Accredited Program Requirements: 1 year GME in the specialty + 5 years of Orthopaedic Surgery for a total of 6 years |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104442516 | Beacon Orthopaedics & Sports Medicine, Ltd | Orthopaedic Surgery | 100 Arrow Springs Blvd Ste 2600, Lebanon, OH 45036-7021 | 2020-06-22 |
| 1790281517 | Mercy Health Physicians Cincinnati LLC | Orthopaedic Surgery | 6770 Cincinnati Dayton Rd Ste 110, Liberty Township, OH 45044-9319 | 2018-04-02 |
| 1952817413 | Caitlin Elisabeth Lefevre | Orthopaedic Surgery | 1000 Regency Ct Ste 212, Toledo, OH 43623-3091 | 2017-12-20 |
| 1255740197 | Orthocincy | Orthopaedic Surgery | 440 Corwin Nixon Blvd, South Lebanon, OH 45065-1196 | 2014-08-05 |
| 1427465517 | Anthony Stephen Berdis | Orthopaedic Surgery | 1695 Niles Cortland Road Ne Ste 2, Warren, OH 44484 | 2014-07-21 |
| 1831525500 | Mccullough-hyde Memorial Hospital, Inc. | Orthopaedic Surgery | 5151 Morning Sun Rd Ste A, Pinnacle Orthopaedics & Sports Medicine, Oxford, OH 45056-9546 | 2013-09-25 |
| 1699020206 | Benjamin D. Richman | Orthopaedic Surgery | 245 Meadowood Ln, Moreland Hills, OH 44022-1342 | 2012-07-19 |
| 1083945638 | Orthocincy | Orthopaedic Surgery | 7626 University Dr, Suite 102, West Chester, OH 45069-2509 | 2010-01-21 |
| 1669602140 | David Alan Brys | Orthopaedic Surgery | 2785 Timbercreek Dr N, Cortland, OH 44410 | 2009-07-20 |
| 1730314238 | Ian Sterling Rice | Orthopaedic Surgery | 4030 Smith Rd Ste 350, Cincinnati, OH 45209-1969 | 2009-05-28 |
| Find all providers with the same taxonomy | ||||
| City | CENTERVILLE |
| Zip Code | 45459 |
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| 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.