DR. GEORGE HERDA (NPI# 1215938980) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1215938980 |
| Entity Type | Individual |
| Full Name | DR. GEORGE HERDA |
| Credential | M.D. |
| Practice Address |
1616 Gallatin Pike N Madison TN 37115-2104 |
| Practice Telephone | 6158658500 |
| Practice Fax Number | 6158608061 |
| Mailing Telephone | 6158658500 |
| Mailing Fax Number | 6158608061 |
| Enumeration Date | 2005-08-03 |
| Last Update Date | 2010-11-18 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208D00000X | General Practice | MD14613 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | BLUE CROSS BLUE SHIELD TN | 3144727 | 01 |
| Street Address |
1616 GALLATIN PIKE N |
| City | MADISON |
| State | TN |
| Zip Code | 37115-2104 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649729948 | U.S. Healthworks Medical Group of Tennessee, PC | Preventive Medicine | 1616 Gallatin Pike N, Madison, TN 37115-2104 | 2016-09-27 |
| 1649501008 | Elizabeth S Meier | Physical Therapist | 1616 Gallatin Pike N, Madison, TN 37115-2104 | 2010-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023675212 | Kennedy Wayne Germany Jr. | Specialist/Technologist | 813 Seashell Cove, Madison, TN 37115 | 2019-05-22 |
| 1497211387 | Latasha Monique Williams | Social Worker | Patriot Place (va), 314 Williams Avenue, Ste. 100, Madison, TN 37115 | 2019-02-15 |
| 1659866481 | Amanda Elliott | Pharmacist | 109 Gallatin Rd, Madison, TN 37115 | 2018-06-25 |
| 1760938492 | Larry Cox | Case Manager/Care Coordinator | 620 S. Gallatin Pike, Madison, TN 37115 | 2016-09-01 |
| 1407202799 | National Vision, Inc. | Technician/Technologist | 1785 Gallatin Pike N, Madison, TN 37115 | 2016-05-05 |
| 1992190193 | Emily Tibbs | Case Manager/Care Coordinator | 620 Gallatin Pike, Madison, TN 37115 | 2015-04-03 |
| 1164829982 | Laura Boswell | Case Manager/Care Coordinator | 620 Gallatin Pike South, Madison, TN 37115 | 2014-11-21 |
| 1720498058 | Edward Andrew Roberts | Chiropractor | 1710 Gallatin Pike N, Madison, TN 37115 | 2014-05-08 |
| 1700296217 | Lamonia Merritt | Student in an Organized Health Care Education/Training Program | 645 Cheyenne Blvd, Madison, TN 37115 | 2014-05-06 |
| 1629497656 | Corey Joseph Cloud | Dentist | 500 Lentz Dr Ste 40, Madison, TN 37115 | 2014-04-07 |
| Find all providers in zip 37115 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760946628 | Amie Jabang | General Practice | 534 Aztalan Dr, Madison, WI 53718-3205 | 2019-01-24 |
| 1255693347 | Robin Louise Chene | General Practice | 530 W Lakeside St, Madison, WI 53715-1728 | 2012-06-13 |
| 1780941740 | Nemil Ashvin Shah | General Practice | 101 Ivory Pl, Madison, AL 35758-2349 | 2012-04-16 |
| 1780951095 | Erwin Fredrick Koenig I | General Practice | 825 Charing Cross Rd, Madison, WI 53704-6082 | 2011-11-30 |
| 1942517164 | Anne Elizabeth Bauer | General Practice | 102 Big Oak Cir, Madison, AL 35758-8324 | 2010-09-09 |
| 1710207923 | Fredrick Howard Bronson | General Practice | 13 Cherokee Cir, 102, Madison, WI 53704-8480 | 2010-06-10 |
| 1043351182 | Richard Lee Owens | General Practice | 1920 Monroe St, Madison, WI 53711-2027 | 2007-02-10 |
| 1184630592 | American Family Care Inc | General Practice | 7559 Hwy 72 W, Madison, AL 35758 | 2006-07-31 |
| 1174543516 | Karen B Duffy | General Practice | 1210 Briarville Road, Blding B, Madison, TN 37115 | 2006-07-20 |
| 1558318832 | Sriramloo Kesari | General Practice | 173 State St, Madison, WV 25130 | 2006-05-30 |
| Find all providers in MADISON | ||||
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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.