DR. GEORGE HERDA


Address: 1616 Gallatin Pike N, Madison, TN 37115-2104
Phone: 6158658500

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).

Provider Overview

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

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 208D00000X General Practice MD14613 TN Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
TN BLUE CROSS BLUE SHIELD TN 3144727 01

Office Location

Street Address 1616 GALLATIN PIKE N
City MADISON
State TN
Zip Code 37115-2104

Providers in the same location

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

Providers in the same zip code

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 Information

Taxonomy Code 208D00000X
Grouping Allopathic & Osteopathic Physicians
Classification General Practice

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

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

Competitor

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City MADISON
Zip Code 37115

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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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