Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Kenneth Scott Heeringa, DO

Individual provider Anesthesiology Physician · NPI 1972582567

Dr. Kenneth Scott Heeringa, DO is an Anesthesiology in Grand Rapids, Michigan. Graduated from Michigan State University College of Osteopathic Medicine in 1997, 29 years ago. Practices with Spectrum Health Primary Care Partners, a 2,303-clinician group, works from 4 locations and accepts Medicare assignment. Licensed in Michigan and Wisconsin.

Years since qualifying
29
Trained at
Michigan State University College of Osteopathic Medicine
Licensed in
MI, WI
In the registry since
2006
Specialties on file
2
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

3333 Evergreen Dr NE
Grand Rapids, MI 49525-9756
Phone: (616) 364-4200
Fax: (616) 364-7347
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (3)

  • 3400 E Racine St, Janesville, WI 53546-2344 — (608) 373-8000
  • 10400 75th St, Kenosha, WI 53142-7884 — (262) 948-5600
  • 515 22nd Ave, Monroe, WI 53566-1569 — (608) 324-1000

Specialties & licences

Anesthesiology Physician (primary) Taxonomy 207L00000X · Licence 5101013374 (MI)
Anesthesiology Physician Taxonomy 207L00000X · Licence 1803 (WI)

Record details

NPI number1972582567
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorNo
NPI enumeratedJanuary 11, 2006
Last updated in NPPESApril 30, 2024
Certification dateApril 30, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyANESTHESIOLOGY
Medical schoolMICHIGAN STATE UNIVERSITY COLLEGE OF OSTEOPATHIC MEDICINE
Graduated 1997 (29 years in practice)
Group practice Spectrum Health Primary Care Partners — 2303 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations7 on file with Medicare

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