CHARLES HESSER (NPI# 1871954495) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1871954495 |
| Entity Type | Individual |
| Full Name | CHARLES HESSER |
| Credential | ATC |
| Practice Address |
3691 Willowcreek Rd Portage IN 46368-5076 |
| Mailing Address |
8259 Wicker Ave Saint John IN 46373-8878 |
| Practice Telephone | 2197594380 |
| Practice Fax Number | 2197591989 |
| Mailing Telephone | 2193656560 |
| Mailing Fax Number | 2193656561 |
| Enumeration Date | 2016-03-09 |
| Last Update Date | 2016-03-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36000654A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
3691 WILLOWCREEK RD |
| City | PORTAGE |
| State | IN |
| Zip Code | 46368-5076 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194999896 | Lakeshore Bone & Joint Institute, PC | Specialist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2008-04-15 |
| 1427672740 | Clark Tanner Bilbrey | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5080 | 2020-06-02 |
| 1669936498 | Krista S Nguyen | Nurse Practitioner | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2019-01-25 |
| 1518459882 | Curtis Reid Munday | Physical Therapy Assistant | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2018-06-03 |
| 1487015525 | Ernest Delgado | Physical Therapy Assistant | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2016-03-17 |
| 1659730455 | Kathryn Dumortier | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-22 |
| 1699134874 | Joshua Eggleston | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-17 |
| 1710346929 | Joy Brown | Physical Therapy Assistant | 3691 Willowcreek Rd, Suite 100, Portage, IN 46368-5076 | 2016-02-16 |
| 1346672979 | Jared Wayne | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2013-08-06 |
| 1700197332 | Sandra Lee Woodworth | Physical Therapist | 3691 Willowcreek Rd, Portage, IN 46368-5076 | 2010-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366041121 | Latresa Renee Sims | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1777 Armstrong St. Suite C., Portage, IN 46368 | 2020-10-22 |
| 1831576693 | Bishara Robert Khoury | Family Medicine | 3545 Arbor Blvd Ste E, Portage, IN 46368 | 2015-04-30 |
| 1962813535 | Diane Farrington | Pharmacist | 6050 Us Hwy 6, Portage, IN 46368 | 2014-05-16 |
| 1588827562 | Jennifer Ann Rumpel | Allergy & Immunology | 6375 Us Highway 6 Ste C, Portage, IN 46368 | 2008-07-09 |
| 1588822688 | Total Renal Care Inc | Clinic/Center | 5823 Us Highway 6, Portage, IN 46368 | 2008-05-27 |
| 1235321480 | Michael Wendahl | Physical Therapist | 3691 Willowcreek Road, Suite 100, Portage, IN 46368 | 2007-08-13 |
| 1679663603 | Stephen V Headley | Family Medicine | 3283 Willowcreek Rd, Portage, IN 46368 | 2006-10-13 |
| 1730276486 | Robert Tan Ang | Psychiatry & Neurology | 3156 Willowcreek Road, Portage, IN 46368 | 2006-10-06 |
| 1013029883 | Primary Care PC | Family Medicine | 3125 Willowcreek Road, Portage, IN 46368 | 2006-08-31 |
| 1104936962 | Margaret Eileen Griffith | Dentist | 2646 Lois Street, Portage, IN 46368 | 2006-08-30 |
| Find all providers in zip 46368 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487255642 | Siarra Grace Crum | Specialist/Technologist | 102 Bellwood Lane, Portage, PA 15946-1441 | 2020-11-04 |
| 1043841711 | Megan S Kaminski | Specialist/Technologist | 2273 Sandwood St, Portage, IN 46368-2434 | 2020-01-30 |
| 1386285740 | Natalie Mcclish | Specialist/Technologist | 5640 Grand Traverse Ln, Portage, MI 49024-1129 | 2019-10-07 |
| 1790251981 | Jade Nycole Aguilar | Specialist/Technologist | 5945 Waterside Dr Apt 2, Portage, IN 46368-4933 | 2018-10-16 |
| 1306320866 | Rachel O'boyle | Specialist/Technologist | 8135 S Westnedge Ave, Portage, MI 49002-5433 | 2018-09-20 |
| 1699279240 | Julie Lynn Griffin | Specialist/Technologist | Portage Northern High School, 1000 Idaho Ave, Portage, MI 49024 | 2018-03-20 |
| 1033591797 | Corbett Lafrance | Specialist/Technologist | 3511 Fawn Cove Ln Apt 1, Portage, MI 49024-4778 | 2015-06-18 |
| 1518363480 | Christopher Miller | Specialist/Technologist | 5441 Meredith St, Apt K, Portage, MI 49002-2143 | 2014-11-05 |
| 1295945046 | Matthew Steven Bekkedal | Specialist/Technologist | 2817 New Pinery Rd Ste 103, Portage, WI 53901-9257 | 2007-05-23 |
| 1699791079 | Kathleen Levandoski | Specialist/Technologist | 6154 Lute Rd, Portage, IN 46368-5010 | 2006-07-15 |
| Find all providers in PORTAGE | ||||
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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.