MR. JAMES HERZOG (NPI# 1437190824) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1437190824 |
| Entity Type | Individual |
| Full Name | MR. JAMES HERZOG |
| Credential | C.S.A. |
| Practice Address |
1104 W Glenhaven Dr Phoenix AZ 85045-0733 |
| Practice Telephone | 4807069430 |
| Practice Fax Number | 4804610945 |
| Mailing Telephone | 4807069430 |
| Mailing Fax Number | 4804610945 |
| Enumeration Date | 2006-06-09 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AS0400X |
Physician Assistant Specialization: Surgical Technologist |
Physician Assistants & Advanced Practice Nursing Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154763027 | James Matthew Herzog | Specialist | 109 Thompson Creek Rd, Norwich, NY 13815-3543 | 2013-07-22 |
| 1700925294 | James M Herzog | Psychiatry & Neurology | 230 Warren St, Brookline, MA 02445-5950 | 2007-02-05 |
| 1649378662 | James P. Herzog | Dentist | 2423 Cornell Ave, Butte, MT 59701-3848 | 2006-09-21 |
| 1134135783 | James David Herzog | Psychologist | 4500 Interstate 55 North, Suite 208, Jackson, MS 39211-5931 | 2006-08-01 |
| 1831756337 | James Herzog | Behavior Technician | 27777 Inkster Rd, Farmington Hills, MI 48334-5326 | 2019-05-21 |
| 1235290552 | James Herzog | Chiropractor | 555 Iron Bridge Rd, Suite 18, Freehold, NJ 07728-2975 | 2006-12-12 |
| 1952474629 | James Herzog | Family Medicine | 1559 W Main Street, Lewisville, TX 75067-3394 | 2006-11-17 |
| Street Address |
1104 W GLENHAVEN DR |
| City | PHOENIX |
| State | AZ |
| Zip Code | 85045-0733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093964199 | Kristin Gwen Deel | Radiologic Technologist | 167 North Main Street, Tuba City, AZ 85045 | 2008-09-12 |
| 1710067681 | Mark William Dardis | Naturopath | 15424 S 1st Ave, Phoenix, AZ 85045-0400 | 2006-10-16 |
| 1023183902 | Wendy Eleanor Picarello | Chiropractor | 14629 S 3rd Ave, Phoenix, AZ 85045-0454 | 2006-11-23 |
| 1396733663 | Pamela M Burgoyne | Social Worker | 14623 S 4th Ave, Phoenix, AZ 85045-0456 | 2005-10-11 |
| 1639421175 | Megan Ann Hinz | Specialist/Technologist | 14850 S 5th Ave, Phoenix, AZ 85045-0468 | 2012-10-08 |
| 1114062007 | Cheryl E Cuyler | Social Worker | 16215 S 1st Ave, Phoenix, AZ 85045-0510 | 2007-02-20 |
| 1891307328 | Empire Health and Therapy LLC | Counselor | 1730 W Lacewood Pl, Phoenix, AZ 85045-0528 | 2020-08-17 |
| 1811152648 | Quality Life Care LLC | Emergency Response System Companies | 630 W Muirwood Dr, Phoenix, AZ 85045-0620 | 2008-07-21 |
| 1255692745 | Erin Patricia Farley | Specialist/Technologist | 16 W Glenhaven Dr, Phoenix, AZ 85045-0740 | 2012-05-31 |
| 1720550114 | Ina Evelyn Hilgers | Psychologist | 1419 W Windsong Dr, Phoenix, AZ 85045-0745 | 2018-12-22 |
| Find all providers in zip 85045 | ||||
| Taxonomy Code | 363AS0400X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Surgical Technologist |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831630375 | Surgeassist, Pllc | Physician Assistant | 125 N 2nd St Ste 110, #443, Phoenix, AZ 85004-2427 | 2017-03-16 |
| 1245695139 | Alex Hall | Physician Assistant | 15830 N 35th Ave Ste 1, Phoenix, AZ 85053-7640 | 2015-12-21 |
| 1730550146 | Jennifer Zazueta | Physician Assistant | 4126 E Nighthawk Way, Phoenix, AZ 85048 | 2015-10-12 |
| 1598047367 | James P. Ennis II | Physician Assistant | 4023 Cloverland Drive, Phoenix, MD 21131-2139 | 2011-09-16 |
| 1023327251 | Perry A. Brazel | Physician Assistant | 3815 E Bell Rd Ste 2100, Phoenix, AZ 85032-2134 | 2010-10-06 |
| 1720305535 | Arizona Surgeons Assistant PC | Physician Assistant | 4369 E Hartford Ave, Phoenix, AZ 85032-2298 | 2010-05-03 |
| 1023296381 | On-call Surgical Assistants LLC | Physician Assistant | 5710 W Spur Dr, Phoenix, AZ 85083-1245 | 2008-02-08 |
| 1760527725 | North Valley Surgical Assisting, Inc. | Physician Assistant | 4150 W. Peoria Ave, Ste 121, Phoenix, AZ 85029 | 2007-02-20 |
| 1548321136 | Laura M Hanschka | Physician Assistant | 5025 N Central Ave # 148, Phoenix, AZ 85012-1520 | 2006-12-13 |
| 1134148513 | Corey L Thompson | Physician Assistant | 4340 E Indian School Rd, Ste 21-562, Phoenix, AZ 85018-5360 | 2006-07-18 |
| Find all providers in PHOENIX | ||||
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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.