DR. JAMES MARK HERTZOG (NPI# 1124052188) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124052188 |
| Entity Type | Individual |
| Full Name | DR. JAMES MARK HERTZOG |
| Credential | O.D. |
| Practice Address |
1004 S Pine St Ste F Cabot AR 72023-3864 |
| Practice Telephone | 5019412222 |
| Practice Fax Number | 5019412577 |
| Mailing Telephone | 5019412222 |
| Mailing Fax Number | 5019412577 |
| Enumeration Date | 2006-07-10 |
| Last Update Date | 2013-01-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 152W00000X | Optometrist | 2584 | AR | Eye and Vision Services Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | MEDICARE DMERC | 499837373 | 01 |
| AR | RAIL ROAD MEDICARE | P00450889 | 01 |
| AR | HEALTHLINKPPO | 882128 | 01 |
| AR | MEDICARE DMERC REGION C | 0215420001 | 01 |
| AR | MEDICARE DMERC | 49983 | 01 |
| AR | 167794722 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366534240 | James H. Hertzog | Pediatrics | A.i. Dupont Hospital for Children, 1600 Rockland Road, Wilmington, DE 19803-3607 | 2006-09-29 |
| Street Address |
1004 S PINE ST STE F |
| City | CABOT |
| State | AR |
| Zip Code | 72023-3864 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861986358 | Chase Harter | Optometrist | 1004 S Pine St Ste F, Cabot, AR 72023-3864 | 2018-06-18 |
| 1801029574 | Hertzog Family Eye Care Pa | Optometrist | 1004 S Pine St Ste F, Cabot, AR 72023-3864 | 2009-08-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003458407 | Arthur Latrell Mays Jr. | Transportation Broker | 18 High Plains Drive, Cabot, AR 72023 | 2019-10-17 |
| 1275182677 | Central Arkansas Screening and Medical Services | Clinical Nurse Specialist | 801 W. Locust St, Cabot, AR 72023 | 2019-09-09 |
| 1154975431 | Cabot Ep, Pllc | Emergency Medicine | 212 Willie Ray Dr., Cabot, AR 72023 | 2019-07-25 |
| 1972070993 | Little Rock Hospital 1, LLC | General Acute Care Hospital | 212 Willie Ray Dr, Cabot, AR 72023 | 2018-10-29 |
| 1437654670 | Eldercare of Arkansas V, Inc. | Assisted Living Facility | 601 E. Mountain Springs Road, Cabot, AR 72023 | 2018-03-29 |
| 1558889220 | Justin Kent | Physical Therapist | 2800 South 2nd Street Ste. B, Cabot, AR 72023 | 2017-09-01 |
| 1518310390 | Viki Vinson | Registered Nurse | 51 Financial Drive, Cabot, AR 72023 | 2016-07-18 |
| 1477934552 | Next Generation Physical Therapy | Physical Therapist | 100 Gateway Drive, Cabot, AR 72023 | 2015-06-15 |
| 1366829020 | Amber Barnes | Speech-Language Pathologist | 16150 Arkansas 5, Cabot, AR 72023 | 2015-05-01 |
| 1184020984 | Jodi Hood | Speech-Language Pathologist | 601 N Lincoln St, Cabot, AR 72023 | 2014-11-06 |
| Find all providers in zip 72023 | ||||
| Taxonomy Code | 152W00000X |
| Grouping | Eye and Vision Services Providers |
| Classification | Optometrist |
| Doctors of optometry (ODs) are the primary health care professionals for the eye. Optometrists examine, diagnose, treat, and manage diseases, injuries, and disorders of the visual system, the eye, and associated structures as well as identify related systemic conditions affecting the eye. An optometrist has completed pre-professional undergraduate education in a college or university and four years of professional education at a college of optometry, leading to the doctor of optometry (O.D.) degree. Some optometrists complete an optional residency in a specific area of practice. Optometrists are eye health care professionals state-licensed to diagnose and treat diseases and disorders of the eye and visual system. |
| Notes: Source: American Optometric Association (AOA), approved by the AOA’s Board of Trustees, June 21, 2005. [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619111762 | Kelsey Bloch Livengood | Optometrist | 32 S Pine St, Suite 1, Cabot, AR 72023-3830 | 2009-04-20 |
| 1770786261 | Global Eye Care | Optometrist | 112 Rainbow Dr, Cabot, AR 72023-8657 | 2007-06-11 |
| 1205950011 | James Bart Brady | Optometrist | 4101 S 1st St, Cabot, AR 72023-7418 | 2007-03-19 |
| 1053417360 | Airiell Schwab | Optometrist | 1004 S Pine St, Cabot, AR 72023-3865 | 2006-09-15 |
| 1982662375 | Clifford M Turner II | Optometrist | 200 Westport Dr Ste D, Cabot, AR 72023 | 2006-05-03 |
| 1780678854 | Billy Floyd Morgan | Optometrist | 215 W Main St, Cabot, AR 72023 | 2005-09-06 |
| 1962029587 | Maci Lewis | Optometrist | 1004 S Pine St, Cabot, AR 72023-3865 | 2020-06-30 |
| 1861986358 | Chase Harter | Optometrist | 1004 S Pine St Ste F, Cabot, AR 72023-3864 | 2018-06-18 |
| 1649653007 | Autumn Adams | Optometrist | 4101 S 1st St, Cabot, AR 72023-7418 | 2015-07-02 |
| 1073857025 | Cabot Family Eye Care Inc | Optometrist | 32 S Pine St, Suite 1, Cabot, AR 72023-3830 | 2012-11-15 |
| Find all providers in CABOT | ||||
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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.