Healthcare Provider Details

I. General information

NPI: 1467361675
Provider Name (Legal Business Name): REBECCA HEGYI PA-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 09/03/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5148 N EASTMAN RD
MIDLAND MI
48642-8247
US

IV. Provider business mailing address

5148 N EASTMAN RD
MIDLAND MI
48642-8247
US

V. Phone/Fax

Practice location:
  • Phone: 989-948-1371
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363A00000X
TaxonomyPhysician Assistant
License Number5601014211
License Number StateMI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: