MR. JUSTIN HERSBERGER (NPI# 1689039604) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689039604 |
| Entity Type | Individual |
| Full Name | MR. JUSTIN HERSBERGER |
| Credential | ATC |
| Practice Address |
473 E Greenville Ave Winchester IN 47394-9436 |
| Mailing Address |
205 Poplar Dr Alexandria IN 46001-1038 |
| Practice Telephone | 1765584000 |
| Mailing Telephone | 7655467459 |
| Enumeration Date | 2015-12-17 |
| Last Update Date | 2015-12-17 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
36002327A | IN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
473 E GREENVILLE AVE |
| City | WINCHESTER |
| State | IN |
| Zip Code | 47394-9436 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457359937 | Samuel D Krutz | Anesthesiology | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2005-07-08 |
| 1184031932 | Pauletta J Hummel | Nurse Practitioner | 473 E Greenville Ave, Winchester, IN 47394 | 2014-07-14 |
| 1265860639 | Indiana Emergency Physicians, LLP | Emergency Medicine | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2013-10-23 |
| 1104102037 | Indiana Physician Management-randolph, LLC | Emergency Medicine | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2011-10-24 |
| 1033304241 | St. Vincent Randolph Hospital, Inc. | Family Medicine | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2007-09-11 |
| 1477760205 | Mary Ellen Jackson | Dietitian, Registered | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2007-05-17 |
| 1558581181 | Kathryn A Wren I | Pharmacist | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2007-04-26 |
| 1730130238 | St. Vincent Randolph Hospital, Inc | Medicare Defined Swing Bed Unit | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2006-05-12 |
| 1609826783 | St. Vincent Randolph Hospital, Inc. | General Acute Care Hospital | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2006-05-11 |
| 1750330163 | David Brian Gudkese | Radiology | 473 E Greenville Ave, Winchester, IN 47394-9436 | 2006-05-10 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053889113 | Kristen Michelle Bogue | Nurse Practitioner | 910 E Washingon Street Suite 2, Winchester, IN 47394 | 2018-11-07 |
| 1972043305 | Lacie Shae Burge | Nurse Practitioner | 400 South Oak Street, Randolph Medical Center, Winchester, IN 47394 | 2017-03-04 |
| 1598018913 | Taylor L Stephens | Social Worker | 325 S Oak St, 103, Winchester, IN 47394 | 2012-10-23 |
| 1518189323 | Cari Prinkey | Pharmacist | 473 Greenville Avenue, Winchester, IN 47394 | 2007-05-02 |
| 1083708432 | Help-call & Rescue | Home Health | 605 West Newton, Winchester, IN 47394 | 2006-10-02 |
| 1548582950 | Samantha M Morris | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2010-02-26 |
| 1649271693 | S Kathryn Joyner | Nurse Practitioner | 409 E Greenville Ave, Winchester, IN 47394 | 2005-08-02 |
| 1184874331 | Dianna L. Naylor | Counselor | 730 W Washington St, Winchester, IN 47394-1425 | 2008-09-24 |
| 1619582673 | Kristen Lea Grilliot | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2020-09-15 |
| 1609245133 | Tonia Childers | Social Worker | 730 W Washington St, Winchester, IN 47394-1425 | 2015-09-15 |
| Find all providers in zip 47394 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
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| 1376177311 | Rylee Learn | Specialist/Technologist | 221 Darby Dr, Winchester, VA 22602-6782 | 2020-02-28 |
| 1457998650 | Gabriella C Mammano | Specialist/Technologist | 418 Wentworth Dr, Winchester, VA 22601-3435 | 2019-12-06 |
| 1932767845 | Logan Yost | Specialist/Technologist | 1031 Payne Rd, Winchester, VA 22603-4522 | 2019-06-05 |
| 1457816977 | Teea Fullen-barnes | Specialist/Technologist | 5150 Old Boonesboro Rd, Winchester, KY 40391-8309 | 2019-02-08 |
| 1962996249 | Billy Chea | Specialist/Technologist | 411 Fortress Dr, Winchester, VA 22603-4292 | 2018-06-19 |
| 1073011144 | Samantha Harmon | Specialist/Technologist | 127 Etnam St, Winchester, VA 22602-7311 | 2018-01-24 |
| 1104364082 | Ashley Schuster | Specialist/Technologist | 346 National Ave, Winchester, VA 22601-5256 | 2017-02-10 |
| 1598202525 | Kaitlyn Griffith | Specialist/Technologist | 219 1/2 Amherst St, Apt. B, Winchester, VA 22601-4154 | 2017-01-29 |
| 1003211954 | Andrew Hollinger | Specialist/Technologist | 2886 N 100 E, Winchester, IN 47394-9084 | 2014-11-04 |
| Find all providers in WINCHESTER | ||||
| City | WINCHESTER |
| Zip Code | 47394 |
Please comment or provide details below to improve the information on MR. JUSTIN HERSBERGER.
| 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.