HERR-KOSTIC MEDICAL GROUP INC.


Address: 41-120 Washington St, Suite 101, Bermuda Dunes, CA 92203
Phone: 7607722823

HERR-KOSTIC MEDICAL GROUP INC. (NPI# 1467672345) 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) 1467672345
Entity Type Organization
Organization Name HERR-KOSTIC MEDICAL GROUP INC.
Practice Address 41-120 Washington St
Suite 101
Bermuda Dunes
CA 92203
Practice Telephone 7607722823
Practice Fax Number 7607722819
Mailing Telephone 7607722823
Mailing Fax Number 7607722819
Enumeration Date 2007-04-26
Last Update Date 2013-04-24
Authorized Official Name SHELCIE A LOVE (OFFICE MANAGER)
Authorized Official Telephone 7607722823
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 207R00000X Internal Medicine Allopathic & Osteopathic Physicians

Office Location

Street Address 41-120 WASHINGTON ST
SUITE 101
City BERMUDA DUNES
State CA
Zip Code 92203

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1720299118 Deborah Ann Urquhart Speech-Language Pathologist 81578 Camino El Triunfo, Indio, CA 92203 2007-05-25
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1851467344 William Young Carlson Physical Therapist 79380 Bowden Drive, Bermuda Dunes, CA 92203 2006-11-27
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Taxonomy Information

Taxonomy Code 207R00000X
Grouping Allopathic & Osteopathic Physicians
Classification Internal Medicine

Taxonomy Definition

A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source]
- Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification
- Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841373743 Stanley Samuel Herr Internal Medicine 41120 Washington St Ste 101, Bermuda Dunes, CA 92203-9596 2006-10-23
1265606636 Clinica Del Sol Medical Group Inc Internal Medicine 41120 Washington St, Suite 103, Bermuda Dunes, CA 92203-9215 2008-04-16
1184703621 Biljana Kostic Internal Medicine 41120 Washington St Ste 101, Bermuda Dunes, CA 92203-9596 2006-11-03
1104862499 Robert Keenan Internal Medicine 41120 Washington St, Bermuda Dunes, CA 92203-9215 2006-06-22
1073581237 Scott Russell Internal Medicine 41120 Washington St Ste 201, Bermuda Dunes, CA 92203-9596 2006-03-14

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Competitor

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City BERMUDA DUNES
Zip Code 92203

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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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