KATHLEEN MARY HERTZER (NPI# 1467778217) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467778217 |
| Entity Type | Individual |
| Full Name | KATHLEEN MARY HERTZER |
| Credential | M.D. |
| Practice Address |
1095 Marshall Way Ste 202 Placerville CA 95667-5722 |
| Mailing Address |
Po Box 45680 San Francisco CA 94145-0680 |
| Practice Telephone | 5306263682 |
| Practice Fax Number | 5307480335 |
| Mailing Telephone | 5306262787 |
| Enumeration Date | 2010-04-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208600000X | Surgery | A121173 | CA | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| Department of Surgery At Ucla, 10833 Le Conte Ave. 72-235 Chs, Los Angeles, CA 900950001 | 3108256643 |
| Street Address |
1095 MARSHALL WAY STE 202 |
| City | PLACERVILLE |
| State | CA |
| Zip Code | 95667-5722 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649482910 | Ryan R Lussenden | Surgery | 1095 Marshall Way Ste 202, Placerville, CA 95667-5722 | 2007-05-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053919258 | Lacey Etienne Neufeld | Nurse Practitioner | Marshall Transitional Care Unit, 1100 Marshall Way, Placerville, CA 95667 | 2020-10-12 |
| 1497390041 | Summitview Child & Family Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 3025 Glee Ln, Placerville, CA 95667 | 2019-11-07 |
| 1225694474 | Camille Borba | Doula | 1212 Lotus Rd, Placerville, CA 95667 | 2019-05-14 |
| 1033610399 | Julie Marie Halsall | Counselor | 2844 Coloma Street, Placerville, CA 95667 | 2018-02-22 |
| 1053839092 | County of El Dorado | Community/Behavioral Health | 3057 Briw Road, Suite A, Placerville, CA 95667 | 2017-08-30 |
| 1982129508 | Brent Charles Ulrici | Counselor | 2986 Colma St, Placerville, CA 95667 | 2017-08-04 |
| 1629464326 | Crystal Coury | Counselor | 5607 Mount Murphy Roas, Garden Valley, CA 95667 | 2015-04-09 |
| 1396141750 | Brown and Ghazal Dental Corporation | Dentist | 3967 Missouri Flat Road, Suite 120, Placerville, CA 95667 | 2014-11-13 |
| 1962808402 | Laura Ann Curry | Counselor | 6765 Green Valley Road, Placerville, CA 95667 | 2014-11-11 |
| 1518374453 | Kelly Lynn Carson | Counselor | 2844 Colona St., Placerville, CA 95667 | 2014-07-11 |
| Find all providers in zip 95667 | ||||
| Taxonomy Code | 208600000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Surgery |
| A general surgeon has expertise related to the diagnosis - preoperative, operative and postoperative management - and management of complications of surgical conditions in the following areas: alimentary tract; abdomen; breast, skin and soft tissue; endocrine system; head and neck surgery; pediatric surgery; surgical critical care; surgical oncology; trauma and burns; and vascular surgery. General surgeons increasingly provide care through the use of minimally invasive and endoscopic techniques. Many general surgeons also possess expertise in transplantation surgery, plastic surgery and cardiothoracic surgery. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Surgery, 2007. http://www.absurgery.org/. American Osteopathic Board of Surgery, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Surgery. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Surgery. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447521406 | Robert Francis Kissling IIi | Surgery | 7040 Amber Way, Placerville, CA 95667-9043 | 2012-01-23 |
| 1649482910 | Ryan R Lussenden | Surgery | 1095 Marshall Way Ste 202, Placerville, CA 95667-5722 | 2007-05-07 |
| 1053799874 | Leighton E Belden | Surgery | 1100 Marshall Way, Placerville, CA 95667-6533 | 2015-05-13 |
| 1952742207 | John Yongkwon Lee | Surgery | 1095 Marshall Way, Suite 202, Placerville, CA 95667-5722 | 2013-07-16 |
| 1558645820 | Marshall Medical Center | Surgery | 1095 Marshall Way, Suite 202, Placerville, CA 95667-5722 | 2011-10-05 |
| 1649489857 | Richard Detwiler, M.d., Inc | Surgery | 941 Spring St, Ste 1, Placerville, CA 95667-4546 | 2007-05-22 |
| 1275665812 | V. L. Grant M. D. Pmc | Surgery | 1008 Fowler Way, Suite B, Placerville, CA 95667-5701 | 2007-03-09 |
| 1861548117 | Craig R Thayer | Surgery | 941 Spring St, Suitea, Placerville, CA 95667-4546 | 2007-01-26 |
| 1952462244 | Robin L Locke | Surgery | 1095 Marshall Way, Suite 202, Placerville, CA 95667-5722 | 2006-12-12 |
| 1912949850 | Richard Detwiler | Surgery | 1095 Marshall Way, Suite 202, Placerville, CA 95667-5722 | 2006-06-12 |
| Find all providers in PLACERVILLE | ||||
| City | PLACERVILLE |
| Zip Code | 95667 |
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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.