THOMAS HERZOG (NPI# 1619909850) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619909850 |
| Entity Type | Individual |
| Full Name | THOMAS HERZOG |
| Credential | M.D. |
| Practice Address |
2139 Auburn Ave Cincinnati OH 45219-2906 |
| Mailing Address |
237 William Howard Taft, Phys Div Cincinnati OH 45219-2906 |
| Practice Telephone | 5135852323 |
| Practice Fax Number | 5135854893 |
| Mailing Telephone | 5135852323 |
| Mailing Fax Number | 5135854893 |
| Enumeration Date | 2006-07-07 |
| Last Update Date | 2016-02-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
35 057399 | OH | Allopathic & Osteopathic Physicians |
| N | 207VX0201X |
Obstetrics & Gynecology Specialization: Gynecologic Oncology |
231790-1 | NY | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| KY | MEDICAID | 7100315370 | 01 |
| OH | MEDICAID | 0107031 | 01 |
| IN | MEDICAID | 201249540 | 01 |
| NY | 02561113 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366466526 | Thomas Alexander Herzog | Surgery | 1600 N Grand Ave, Ste 430, Pueblo, CO 81003-2700 | 2006-07-27 |
| 1801814447 | Thomas L Herzog | Obstetrics & Gynecology | 801 Broadway N, Fargo, ND 58102-3641 | 2006-07-18 |
| 1760435952 | Thomas Harry Herzog | Orthopaedic Surgery | 3 Lyon Place, Ogdensburg, NY 13669 | 2006-05-18 |
| Street Address |
2139 AUBURN AVE |
| City | CINCINNATI |
| State | OH |
| Zip Code | 45219-2906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417950510 | Sanjay J Patil | Internal Medicine | 2139 Auburn Ave, Baldwin Bldg - 5 South, Cincinnati, OH 45219-2906 | 2005-05-23 |
| 1497356968 | Megan Marie Whitely | Registered Nurse | 2139 Auburn Ave, Cincinnati, OH 45219-2989 | 2020-11-02 |
| 1801496765 | Drew Alexander Davis | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-10-29 |
| 1508479155 | Brice Cable | Anesthesiologist Assistant | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-08-24 |
| 1710598503 | Geraldine Harpen | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-08-14 |
| 1952910572 | Matthew Colton Hemm | Registered Nurse | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-07-29 |
| 1174132070 | Rebecca Moore | Nurse Practitioner | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-07-27 |
| 1457973729 | Michael Wolf | Podiatrist | 2139 Auburn Ave, Cincinnati, OH 45219-2989 | 2020-05-10 |
| 1609498070 | Konstantin Gruenwald | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2020-05-08 |
| 1568083640 | Nadine Aboumerhi | Anesthesiologist Assistant | 2139 Auburn Ave, Cincinnati, OH 45219-2989 | 2020-04-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225659261 | Christopher Robert Smith | Student in an Organized Health Care Education/Training Program | 2139 Auburn Ave Tch Internal Medicine, Cincinnati, OH 45219 | 2020-04-30 |
| 1316574346 | Quincy Alvin Banks | Student in an Organized Health Care Education/Training Program | Tch Family Medicine, 2123 Auburn Ave, Suite 235, Cincinnati, OH 45219 | 2020-03-27 |
| 1831725324 | Sara Jane Elisabeth Hubbard | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0803, Ucmc Dental Center, Cincinnati, OH 45219 | 2020-03-17 |
| 1528609815 | Yuliya Azirbayeva | Pharmacist | 3 West Corry St, Cincinnati, OH 45219 | 2019-10-08 |
| 1851955769 | Julie Grace Van Baardwijk | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2019-04-25 |
| 1164982773 | Zein Mouaffaq Saad Eddin | Student in an Organized Health Care Education/Training Program | 234 Goodman Street, Department of Surgery, Cincinnati, OH 45219 | 2019-03-20 |
| 1386103273 | Ismaeel Siddiqi | Student in an Organized Health Care Education/Training Program | 234 Goodman Street Ml 0781- Internal Medicine, Cincinatti, OH 45219 | 2019-03-19 |
| 1285123612 | Anna Vaughan | Counselor | 2828 Vernon Place, Cincinnati, OH 45219 | 2018-05-01 |
| 1043707565 | Chizara Nwade | Student in an Organized Health Care Education/Training Program | Tch Internal Medicine, 2139 Auburn Ave, Cincinnati, OH 45219 | 2018-04-19 |
| 1922503226 | Kristen Sparagna | Student in an Organized Health Care Education/Training Program | 234 Goodman St, Ml 665x, Cincinnati, OH 45219 | 2018-03-28 |
| Find all providers in zip 45219 | ||||
| Taxonomy Code | 207VX0201X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecologic Oncology |
| An obstetrician/gynecologist who provides consultation and comprehensive management of patients with gynecologic cancer, including those diagnostic and therapeutic procedures necessary for the total care of the patient with gynecologic cancer and resulting complications. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699190421 | Trihealth W, LLC | Obstetrics & Gynecology | 10550 Montgomery Rd, Suite 22, Cincinnati, OH 45242-4498 | 2014-03-04 |
| 1396032843 | Robert Neff | Obstetrics & Gynecology | 3219 Clifton Ave Ste 100, Cincinnati, OH 45220-3035 | 2011-07-06 |
| 1124341649 | Christ Hospital Medical Specialists LLC | Obstetrics & Gynecology | 2123 Auburn Ave, Cincinnati, OH 45219-2906 | 2010-03-11 |
| 1205001351 | Eric Lawrence Eisenhauer | Obstetrics & Gynecology | 2139 Auburn Ave, Cincinnati, OH 45219-2906 | 2008-04-29 |
| 1821219569 | Kevin M Schuler | Obstetrics & Gynecology | 3219 Clifton Ave, Suite 100, Cincinnati, OH 45220-3027 | 2007-05-01 |
| 1952498412 | Nader Husseinzadeh | Obstetrics & Gynecology | 222 Piedmont Ave, 5100, Cincinnati, OH 45219-4231 | 2006-10-06 |
| 1629181763 | Trihealth Physician Institute | Obstetrics & Gynecology | 3219 Clifton Ave, Suite 100, Cincinnati, OH 45220-3027 | 2006-08-15 |
| 1518951797 | Nancy L Simon | Obstetrics & Gynecology | 4350 Malsbary Rd, Cincinnati, OH 45242-5621 | 2005-09-02 |
| 1073505525 | Jack B Basil | Obstetrics & Gynecology | 3219 Clifton Ave, Suite 100, Cincinnati, OH 45220-3027 | 2005-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487914552 | Stuart Richard Pierce | Obstetrics & Gynecology | 500 Thomas Ln Ste 4b, Columbus, OH 43214-1419 | 2012-05-23 |
| 1801023122 | Kristin Leigh Bixel | Obstetrics & Gynecology | 1145 Olentangy River Rd Ste 2100, Columbus, OH 43212-3117 | 2009-06-12 |
| 1437182722 | Vivian Vongruenigen | Obstetrics & Gynecology | 3909 Orange Pl Ste 4600, Beachwood, OH 44122-8400 | 2006-07-09 |
| 1609810779 | Richard D Kim | Obstetrics & Gynecology | 9500 Euclid Ave # R35, Cleveland, OH 44195-0001 | 2006-06-16 |
| 1477595510 | Larry J Copeland | Obstetrics & Gynecology | 3651 Ridge Mill Dr, Hilliard, OH 43026-7752 | 2006-06-12 |
| 1255328845 | Stephen J Andrews | Obstetrics & Gynecology | 161 N Forge St, Suite 298, Akron, OH 44304-1468 | 2005-09-29 |
| 1144229733 | Nicholas Reed | Obstetrics & Gynecology | 15 Messimer Dr, Newark, OH 43055-1841 | 2005-07-18 |
| 1225034622 | Luis Vaccarello | Obstetrics & Gynecology | 3100 Plaza Properties Blvd, Columbus, OH 43219-1531 | 2005-06-22 |
| 1407454655 | Jennifer Maureen Horvat | Obstetrics & Gynecology | 9500 Euclid Ave # A81, Cleveland, OH 44195-0001 | 2020-10-10 |
| 1003371915 | Summa Physicians Inc | Obstetrics & Gynecology | 1320 Mercy Dr Nw, Canton, OH 44708-2614 | 2019-02-05 |
| Find all providers with the same taxonomy | ||||
| City | CINCINNATI |
| Zip Code | 45219 |
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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.