JOHN ANDREW HERZOG (NPI# 1497801468) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497801468 |
| Entity Type | Individual |
| Full Name | JOHN ANDREW HERZOG |
| Credential | DDS |
| Practice Address |
78 Mckay St Beverly MA 01915 |
| Practice Telephone | 9789224427 |
| Practice Fax Number | 9789274937 |
| Mailing Telephone | 9789224427 |
| Mailing Fax Number | 9789274937 |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
15790 | MA | Dental Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MA | BLUE CROSS BLUE SHIELD | 451193 | 01 |
| MA | MASSHEALTH | Y51193 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255377438 | John C Herzog | Orthopaedic Surgery | 31 Myrtle St, Saratoga Springs, NY 12866-1036 | 2006-06-22 |
| 1265642425 | John Peter Herzog | Orthopaedic Surgery | 98 Clearwater Dr, Suite 4, Falmouth, ME 04105-1398 | 2007-05-23 |
| 1093734949 | John L Herzog Sr. | Internal Medicine | 1421 E Union St, Greenville, MS 38703-3247 | 2006-07-19 |
| Street Address |
78 MCKAY ST |
| City | BEVERLY |
| State | MA |
| Zip Code | 01915 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710093737 | Thomas John Venti | Chiropractor | 78 Mckay St, Beverly, MA 01915-3031 | 2006-08-22 |
| 1689842601 | John A Herzog, D.d.s. | Dentist | 78 Mckay St, Beverly, MA 01915-3031 | 2008-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377253 | Janice E. Schwartz | Psychologist | 100 Cummings Center, 232 C, Beverly, MA 01915 | 2020-05-14 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1144781477 | Nutrimedy | Dietitian, Registered | 6 Oceanside Drive, Beverly, MA 01915 | 2019-03-28 |
| 1376001073 | Benjamin David Stebbings | Counselor | 199 Rosewood Dr. Suite 250, Beverly, MA 01915 | 2019-03-12 |
| 1376000455 | Patrick Matthew Noble | Occupational Therapist | Peer Projects - Therapy From The Heart, 100 Cummings Center Suite 350g, Beverly, MA 01915 | 2019-02-26 |
| 1174007900 | Nicole Morreo | Psychologist | 480 Rantoul St., 208, Beverly, MA 01915 | 2018-09-18 |
| 1891282299 | Jeanne Tomich | Psychologist | 110 Hart St., Beverly, MA 01915 | 2018-04-20 |
| 1518469089 | Kathleen L Golemon | Specialist | 100 Cummings Center Suite 158-d, Beverly, MA 01915 | 2018-03-01 |
| 1629582556 | Sarah Elizabeth Tsouvalas | Nurse Practitioner | 900 Cummings Center, Suite 111w, Lahey Health Primary Care, Beverly, Beverly, MA 01915 | 2017-11-30 |
| 1235657339 | Kathleen Ann Downey | Registered Nurse | Element Care, 166d Cummings Center, Beverly, MA 01915 | 2017-09-08 |
| Find all providers in zip 01915 | ||||
| Taxonomy Code | 1223G0001X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | General Practice |
| A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
| Notes: Source: Academy of General Dentistry |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548877897 | Alexandra Gilbert | Dentist | 15 Williams St, Beverly, MA 01915-2323 | 2020-09-29 |
| 1720625452 | Campos Dental Care PC | Dentist | 127 Dodge Street, Beverly, MA 01915 | 2019-12-02 |
| 1558831610 | Rb Dental, LLC | Dentist | 45 Dodge St, Beverly, MA 01915-1705 | 2018-12-03 |
| 1013438118 | Kristy Winata | Dentist | 495 Cabot St # 201, Beverly, MA 01915-2515 | 2017-06-29 |
| 1740675289 | Joseph Whitney | Dentist | 130 Cabot St, Beverly, MA 01915-5143 | 2015-04-01 |
| 1518168590 | Carter E. Gillespie | Dentist | 521 Fifth St., Beverly, OH 45715 | 2007-05-29 |
| 1326185794 | Sydney L Frasca | Dentist | 109 Dodge St, Beverly, MA 01915-1053 | 2007-02-01 |
| 1356442446 | Robert A Blake | Dentist | 50 West St, Beverly, MA 01915-2228 | 2006-09-25 |
| 1235234261 | Eugene Bradin | Dentist | 466 S Arthur Dr, Beverly, NJ 08010-2154 | 2006-09-14 |
| 1891898813 | Cabot Dental Associates PC | Dentist | 332 Cabot St, Beverly, MA 01915 | 2006-09-06 |
| Find all providers in BEVERLY | ||||
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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.