MARK HERZOG (NPI# 1447373766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447373766 |
| Entity Type | Individual |
| Full Name | MARK HERZOG |
| Credential | PTA |
| Practice Address |
924 N Howe St Southport NC 28461-3038 |
| Mailing Address |
7704 Trap Way Wilmington NC 28412-3450 |
| Practice Telephone | 9104544703 |
| Mailing Telephone | 9104525156 |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 282N00000X | General Acute Care Hospital | 3211 | NC | Hospitals |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467475095 | Mark R Herzog | Dentist | 8421 Bay Pkwy, Brooklyn, NY 11214-3303 | 2006-07-25 |
| 1275595290 | Mark A. Herzog | Dentist | 804 E 8th St, Ellsworth, KS 67439-2535 | 2006-04-05 |
| 1740662246 | Mark Brady Herzog | Dentist | 6520 226th Pl Se, Suite 200, Issaquah, WA 98027-8969 | 2015-06-22 |
| Street Address |
924 N HOWE ST |
| City | SOUTHPORT |
| State | NC |
| Zip Code | 28461-3038 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679550305 | George Thomas Holland | Family Medicine | 924 N Howe St, Southport, NC 28461-3038 | 2005-12-22 |
| 1801336052 | Benita Laforte | Registered Nurse | 924 N Howe St, Southport, NC 28461-3038 | 2017-03-06 |
| 1457709891 | Liberty Healthcare Group, LLC | Skilled Nursing Facility | 924 N Howe St, Southport, NC 28461-3038 | 2016-05-26 |
| 1073999116 | Sally Delmastro | Nurse Practitioner | 924 N Howe St, Southport, NC 28461-3038 | 2015-07-30 |
| 1790114114 | Amy Lynn Burger | Physician Assistant | 924 N Howe St, Southport, NC 28461-3038 | 2013-11-06 |
| 1932462090 | William Dunn Meacham | Family Medicine | 924 N Howe St, Southport, NC 28461-3038 | 2012-06-22 |
| 1659605046 | Brittany Vanslyke | Occupational Therapist | 924 N Howe St, Southport, NC 28461 | 2009-10-01 |
| 1992934137 | J. Arthur Dosher Memorial Hospital | Medicare Defined Swing Bed Unit | 924 N Howe St, Southport, NC 28461-3038 | 2009-07-09 |
| 1275736969 | Nadine Yamusah | Internal Medicine | 924 N Howe St, Southport, NC 28461-3038 | 2007-06-08 |
| 1083828982 | James Keller Weingarten | Emergency Medicine | 924 N Howe St, Southport, NC 28461-3038 | 2007-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225645542 | Island Time Medical and Wellness, Pllc | Clinic/Center | 39 Dowitcher Trl, Bald Head Island, NC 28461 | 2020-09-30 |
| 1871095356 | Sunny Point Fire & Rescue | Emergency Medicine | 6280 Sunny Point Rd Bldg 44, Southport, NC 28461 | 2018-03-01 |
| 1962882035 | Kimberlee Kreuzer | Physical Therapist | 1517 N Howe St Suite 4, Southport, NC 28461 | 2015-06-04 |
| 1134449291 | Kristos Nektarios Vaughan | Family Medicine | 3009 Medical Plaza Lane, Southport, NC 28461 | 2010-06-10 |
| 1750612974 | Melissa Holden | Nurse Practitioner | 1517 N Howe St Ste 12, Southport, NC 28461 | 2010-01-28 |
| 1437315165 | North Carolina Shoulder and Elbow Surgery and Sports Medicine | Orthopaedic Surgery | 900 North Howe St, Southport, NC 28461 | 2008-08-01 |
| 1124212329 | Edward Frank Babel | Nurse Practitioner | 201 West Boiling Spring Lakes Road, New Hope Clinic, Boiling Spring Lakes, NC 28461 | 2007-08-30 |
| 1952453151 | Robert Wayne Poe | Otolaryngology | 900 N. Howe St, Southport, NC 28461 | 2007-01-17 |
| 1275640898 | Kurt Thomas Scheetz | Dentist | 1301 N Howe Street, Southport, NC 28461 | 2006-08-23 |
| 1396859872 | Brunswick Family Medicine Pa | Family Medicine | 3960 Executive Park Blvd, Unit 600, Southport, NC 28461 | 2006-08-19 |
| Find all providers in zip 28461 | ||||
| Taxonomy Code | 282N00000X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| An acute general hospital is an institution whose primary function is to provide inpatient diagnostic and therapeutic services for a variety of medical conditions, both surgical and non-surgical, to a wide population group. The hospital treats patients in an acute phase of illness or injury, characterized by a single episode or a fairly short duration, from which the patient returns to his or her normal or previous level of activity. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275660342 | J. Arthur Dosher Memorial Hospital | General Acute Care Hospital | 924 N Howe St, Southport, NC 28461-3038 | 2007-02-27 |
| 1346377413 | J. Arthur Dosher Memorial Hospital | General Acute Care Hospital | 924 N Howe St, Southport, NC 28461-3038 | 2007-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861939621 | Carolinas Healthcare System | General Acute Care Hospital | 3329 Weston St, Charlotte, NC 28209 | 2017-01-31 |
| 1760925143 | Duke University Medical Center | General Acute Care Hospital | 2543 Meridian Pkwy Apt 2106, Durham, NC 27713-2496 | 2016-12-02 |
| 1538610019 | In-house Doc, Inc. | General Acute Care Hospital | 1820 Grace St, Winston Salem, NC 27103-2722 | 2016-10-19 |
| 1912373804 | Baptist Medical Center | General Acute Care Hospital | 149 N Hazelwood Dr, Mocksville, NC 27028-7164 | 2015-08-14 |
| 1881079929 | Legacy Healthcare Services, Inc | General Acute Care Hospital | 4263 Bill Dale Rd, Morganton, NC 28655 | 2015-07-29 |
| 1689060303 | Novant Health Rehabilitation Center Matthews | General Acute Care Hospital | 1450 Matthews Township Pkwy Ste 150, Matthews, NC 28105-2388 | 2015-04-09 |
| 1124413513 | Baylor College of Medicine | General Acute Care Hospital | 537 Montclaire Dr, Mount Airy, NC 27030-9106 | 2015-04-01 |
| 1437540358 | Aimee L. Swain | General Acute Care Hospital | 4726 Rollins Pointe Dr, Monroe, NC 28110-7117 | 2015-02-13 |
| 1962893149 | Michelle Porter | General Acute Care Hospital | 402 Stagecoach Dr, Jacksonville, NC 28546-8663 | 2015-02-10 |
| 1487052114 | Hiroshi Okuda | General Acute Care Hospital | 103015 Dumc, Durham, NC 27710-0001 | 2014-12-11 |
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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.