HAROLD J HERBST (NPI# 1679599864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679599864 |
| Entity Type | Individual |
| Full Name | HAROLD J HERBST |
| Credential | PA-C |
| Practice Address |
1412 Main Street Hawley MN 56549 |
| Mailing Address |
Po Box 746 1412 Main Street Hawley MN 56549-0746 |
| Practice Telephone | 2184833564 |
| Practice Fax Number | 2184833567 |
| Mailing Telephone | 2184833564 |
| Mailing Fax Number | 2184833567 |
| Enumeration Date | 2006-07-14 |
| Last Update Date | 2014-01-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
9077 | MN | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MEDICA | 0111645 | 01 | |
| ND RR | 970003849 | 01 | |
| SIOUX VALLEY | 20642 | 01 | |
| MN RR | 970003854 | 01 | |
| ND | ND MEDICARE | N4664 | 01 |
| HEALTHPARTNERS | HP25754 | 01 | |
| MN BC | 61A01HE | 01 | |
| ND | 71103 | 05 | |
| AMERICAS PPO | 944702 | 01 | |
| MN | 701826600 | 05 | |
| PREFERREDONE | 1001271 | 01 | |
| ND BC | 23576 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902909310 | Harold Herbst | Dentist | 475 White Plains Rd, Suite Number 22, Eastchester, NY 10709-5537 | 2006-09-07 |
| Street Address |
1412 MAIN STREET |
| City | HAWLEY |
| State | MN |
| Zip Code | 56549 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518488071 | Carrie Lynne Holt | Nurse Practitioner | 1412 Main Street, Hawley, MN 56549 | 2017-07-05 |
| 1861772162 | Sanford Medical Center Fargo | Internal Medicine | 1412 Main Street, Hawley, MN 56549-0746 | 2011-08-18 |
| 1174761084 | Tabitha M Hass | Physician Assistant | 1412 Main Street, Hawley, MN 56549 | 2009-01-30 |
| 1578681995 | Heidi J Peterson | Nurse Practitioner | 1412 Main Street, Hawley, MN 56549 | 2007-03-26 |
| 1710909304 | Sanford Clinic North | Internal Medicine | 1412 Main Street, Hawley, MN 56549-0746 | 2006-07-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528146941 | Independent School District 150 | Local Education Agency (LEA) | 714 Joseph St, Hawley, MN 56549 | 2006-11-02 |
| 1063463966 | David A Vogt | Family Medicine | 1412 Main St, Hawley, MN 56549 | 2006-05-15 |
| 1285695783 | Lakes Region Artificial Limb and Brace Company Inc | Durable Medical Equipment & Medical Supplies | 710 Valley St, Hawley, MN 56549 | 2006-04-01 |
| 1619537982 | Bailey Goolsbey | Physical Therapy Assistant | 520 Main St, Hawley, MN 56549 | 2019-06-18 |
| 1053802785 | Garrett Allen Skonseng | Dentist | 520 Main St., Hawley, MN 56549 | 2018-05-29 |
| 1174014526 | Emily M Frosaker | Dentist | 520 Main St., Hawley, MN 56549 | 2018-05-22 |
| 1609387760 | Amber Hakk | Physical Therapist | 520 Main St., Hawley, MN 56549 | 2017-10-17 |
| 1548631187 | Kaitlin Siewert | Advanced Practice Dental Therapist | 520 Main Street, Hawley, MN 56549 | 2015-10-08 |
| 1871976175 | Hawley Family Dentisrty | Clinic/Center | 500 6th St, Hawley, MN 56549 | 2015-07-06 |
| 1720376874 | Tiara Leigh Applequist | Dentist | 520 South Main St, Hawley, MN 56549 | 2011-07-11 |
| Find all providers in zip 56549 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144418054 | Breanne Marie Phillips | Physician Assistant | 103 Spruce St Ste 201, Hawley, PA 18428-1149 | 2007-10-05 |
| 1174761084 | Tabitha M Hass | Physician Assistant | 1412 Main Street, Hawley, MN 56549 | 2009-01-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255969150 | Isaac Waalen | Physician Assistant | 5420 Circle Down, Minneapolis, MN 55416-1312 | 2020-03-28 |
| 1730643701 | Christina Jones | Physician Assistant | 11850 Blackfoot St Nw Ste 270, Coon Rapids, MN 55433-2593 | 2019-01-24 |
| 1114492964 | Molly Goss | Physician Assistant | 1817 Sunset Dr, Northfield, MN 55057-3246 | 2018-10-09 |
| 1932600160 | Ellen Kathryn Freeman | Physician Assistant | 111 Hundertmark Rd Ste 480, Chaska, MN 55318-1485 | 2018-02-22 |
| 1174041875 | Kristen Webb | Physician Assistant | 3931 Louisiana Ave S, Suite E-500, St. Louis Park, MN 55426 | 2017-09-01 |
| 1073051751 | Hannah Elizabeth Rosenthal Danielson | Physician Assistant | 640 Jackson St # Ms 11102m, Saint Paul, MN 55101 | 2017-02-02 |
| 1457893984 | Daniel Ryan Nguyen | Physician Assistant | 14551 Co Rd #11 #100, Burnsville, MN 55337 | 2016-11-15 |
| 1538545686 | Kathryn Jelle | Physician Assistant | 3931 Louisiana Ave S # 55426, St Louis Park, MN 55426-5000 | 2015-07-30 |
| 1831503267 | Karrah Oliver | Physician Assistant | 205 Roosevelt Ave W, Karlstad, MN 56732-4022 | 2014-06-13 |
| 1477981777 | Melissa Ferraz De Toledo | Physician Assistant | 9145 Springbrook Dr Nw Ste 300, Coon Rapids, MN 55433-5897 | 2013-10-23 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on HAROLD J HERBST.
| 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.