RONALD D HERTZ


Address: 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2893
Phone: 3133433749

RONALD D HERTZ (NPI# 1053304816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1053304816
Entity Type Individual
Full Name RONALD D HERTZ
Credential DO
Practice Address 19251 Mack Ave
Grosse Pointe Woods
MI 48236-2893
Mailing Address 22201 Moross
270
Detroit
MI 48236-1136
Practice Telephone 3133433749
Practice Fax Number 3133437921
Mailing Telephone 3133437280
Mailing Fax Number 3133437921
Enumeration Date 2005-08-26
Last Update Date 2011-02-17
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207RA0000X Internal Medicine
Specialization: Adolescent Medicine
5101010791 MI Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
MI 4435427 05

Office Location

Street Address 19251 MACK AVE
City GROSSE POINTE WOODS
State MI
Zip Code 48236-2893

Providers in the same location

NPI Name Taxonomy Address Enumeration
1356334270 Mohammed K Beeai Internal Medicine 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2893 2005-08-25
1376032995 Varsha Das Pediatrics 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2893 2018-05-09
1407224769 Amy Stros Nurse Practitioner 19251 Mack Ave, Suite 100, Grosse Pointe Woods, MI 48236-2893 2015-09-03
1255772323 Alexander Boikov Radiology 19251 Mack Ave, Suite 340, Grosse Pointe Woods, MI 48236-2893 2013-07-17
1417211780 Lena Derani Internal Medicine 19251 Mack Ave, Suite 340, Grosse Pointe Woods, MI 48236-2893 2012-07-01
1083927511 Praneil Dave Mehta Internal Medicine 19251 Mack Ave, Suite 335, Grosse Pointe Woods, MI 48236-2893 2010-07-26
1659501401 Hima Katkuri Internal Medicine 19251 Mack Ave, Suite 335, Grosse Pointe Woods, MI 48236-2893 2009-07-14
1306008800 Toothworks PC Dentist 19251 Mack Ave, Suite 220, Grosse Pointe Woods, MI 48236 2008-06-26
1659547925 Danielle A. Osterholzer Internal Medicine 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2893 2008-05-06
1144492281 Jeremy Lee Henson Internal Medicine 19251 Mack Ave, Ste 333, Grosse Pointe Woods, MI 48236-2893 2008-03-28
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1093323966 Khairya Fatouh Pathology 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 2020-07-16
1134744998 Harish Harry Gidda Internal Medicine 22201 Moross Rd, Suite 50, Detroit, MI 48236 2020-06-08
1770107443 Arshan Ali Khan Internal Medicine 22101 Moross Rd, Suite 50, Detroit, MI 48236 2020-05-29
1750901658 Annika Van Wieren Emergency Medicine 22101 Moross Road, Emergency Department, Detroit, MI 48236 2020-04-21
1801449483 Ishaq Azeem Asghar Student in an Organized Health Care Education/Training Program 22101 Moross Road, Pathology Department, Detroit, MI 48236 2019-07-22
1295290443 Ascension St. John Hospital Dietitian, Registered 22201 Moross, Ste. 270, Detriot, MI 48236 2019-02-01
1548747413 Abiodun Adenuga Adefarasin Pharmacist 20746 Mack Avenue, Gross Pointe Woods, MI 48236 2018-07-24
1629564042 Hamza H Khan Student in an Organized Health Care Education/Training Program 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 2018-07-09
1235631664 David Lee Williams Physical Therapist 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 2018-03-01
1164979720 Memphie Morgan Licensed Practical Nurse 91527 Cheshire St., Grosse Pointe, MI 48236 2016-09-01
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Taxonomy Information

Taxonomy Code 207RA0000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine
Specialization Adolescent Medicine

Taxonomy Definition

An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1629505821 Ultimate Service Care LLC Internal Medicine G3500 Flushing Rd Ste 200, Flint, MI 48504-4247 2017-05-18
1841312659 Shahina Arif Motorwala Internal Medicine 2116 S Wayne Rd, Westland, MI 48186 2007-04-04
1609919323 Mohammad Khalaf Batayneh Internal Medicine 32472 Schoolcraft Rd, Livonia, MI 48150-4309 2007-02-14
1255499257 Zafer Obeid Internal Medicine 16921 W Warren Ave, Detroit, MI 48228-3505 2006-12-04
1306858980 Thomas J W Bering, Md, PC Internal Medicine 2311 15 Mile Rd, Suite A, Sterling Heights, MI 48310-4812 2006-08-12
1174544050 Lifetime Medical Associates, P.C. Internal Medicine 1701 South Blvd E Ste 250, Rochester Hills, MI 48307-6123 2006-07-23
1871554485 Abraham Oommen Internal Medicine 200 W Center St, Alma, MI 48801-2207 2006-03-31
1225006745 Jawahar L Tummala Internal Medicine 5084 W Pierson Rd, Flint, MI 48504-1390 2006-03-10
1538167572 Jonathon K Nicholson Internal Medicine 393 Long Rapids Rd, Alpena, MI 49707-1317 2005-07-13
1316379936 Iha Health Services Corporation Internal Medicine 111 N Huron St, Suite 200, Ypsilanti, MI 48197-2676 2013-08-06
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Competitor

Search similar providers

City GROSSE POINTE WOODS
Zip Code 48236

Improve Information

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Dataset Information

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.

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