DR. MARK BRADY HERZOG (NPI# 1740662246) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740662246 |
| Entity Type | Individual |
| Full Name | DR. MARK BRADY HERZOG |
| Credential | D.M.D. |
| Practice Address |
6520 226th Pl Se Suite 200 Issaquah WA 98027-8969 |
| Mailing Address |
6911 Ravens Gate Way Yakima WA 98908-2189 |
| Practice Telephone | 4253921010 |
| Mailing Telephone | 5099654718 |
| Enumeration Date | 2015-06-22 |
| Last Update Date | 2015-06-22 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223G0001X |
Dentist Specialization: General Practice |
DE60566577 | WA | Dental Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467475095 | Mark R Herzog | Dentist | 8421 Bay Pkwy, Brooklyn, NY 11214-3303 | 2006-07-25 |
| 1275595290 | Mark A. Herzog | Dentist | 804 E 8th St, Ellsworth, KS 67439-2535 | 2006-04-05 |
| 1447373766 | Mark Herzog | General Acute Care Hospital | 924 N Howe St, Southport, NC 28461-3038 | 2007-04-10 |
| Street Address |
6520 226TH PL SE SUITE 200 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-8969 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720074321 | Judith Lynn Unger | Nurse Practitioner | 6520 226th Pl Se, Suite 120, Issaquah, WA 98027-8969 | 2005-09-20 |
| 1093292336 | Andrew Erik Didricksen | Physical Therapist | 6520 226th Pl Se, Issaquah, WA 98027-8969 | 2018-07-19 |
| 1467859645 | Proliance Surgeons, Inc., P.s. | Physical Therapist | 6520 226th Pl Se, Suite 205, Issaquah, WA 98027-8969 | 2014-12-03 |
| 1659626034 | Quinn E Sundvall | Physical Therapist | 6520 226th Pl Se, Suite 201, Issaquah, WA 98027 | 2012-07-20 |
| 1184996597 | Christa Hastings | Massage Therapist | 6520 226th Pl Se, Ste 201, Issaquah, WA 98027-8969 | 2012-01-31 |
| 1922308626 | Emerald Blossom | Clinic/Center | 6520 226th Pl Se, Suite 205, Issaquah, WA 98027-8969 | 2010-10-27 |
| 1285952275 | Annie Nicole Pineyro | Registered Nurse | 6520 226th Pl Se, Suite 100, Issaquah, WA 98027-8969 | 2010-05-14 |
| 1013172501 | Rebekah D Ley | Physical Therapist | 6520 226th Pl Se, Suite 205, Issaquah, WA 98027-8969 | 2008-07-23 |
| 1588874978 | Catherine Marie Thomas | Obstetrics & Gynecology | 6520 226th Pl Se, Suite 120, Issaquah, WA 98027-8969 | 2007-05-23 |
| 1043423783 | Terry Willard Cottrell | Chiropractor | 6520 226th Pl Se, Suite# 203, Issaquah, WA 98027-8969 | 2007-05-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| 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 |
|---|---|---|---|---|
| 1295367209 | Nitin Jaggi | Dentist | 5006 E Lake Sammamish Pkwy Se, Issaquah, WA 98029-9220 | 2020-02-07 |
| 1275011165 | Andrew Jacob Keith | Dentist | 1416 Highlands Dr Ne Ste 120, Issaquah, WA 98029-6240 | 2018-08-01 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1871033316 | Gene Jason Wang | Dentist | 3707 Providence Point Dr Se Ste E, Issaquah, WA 98029-6216 | 2017-03-02 |
| 1821340001 | Andy C. A. Yu | Dentist | 22525 Se 64th Pl Ste 170, Issaquah, WA 98027 | 2012-10-11 |
| 1285937219 | Kari C. Woo | Dentist | 22619 Se 64th Pl Ste 110, Issaquah, WA 98027-5342 | 2010-12-14 |
| 1598078206 | Carrie Lynn Bohm | Dentist | 698 Bear Ridge Dr Nw, Issaquah, WA 98027-5605 | 2010-07-22 |
| 1093036709 | Lake Sammamish Family Dentistry | Dentist | 5712 E Lake Sammamish Pkwy Se, Ste 108, Issaquah, WA 98029-8943 | 2010-06-16 |
| 1407002017 | Sarah Goodin | Dentist | 837 Rainier Blvd N, Issaquah, WA 98027-2413 | 2008-08-14 |
| 1467678227 | Eun Hee Kim | Dentist | 1135 Nw Gilman Blvd Ste F5, Issaquah, WA 98027-5345 | 2007-04-18 |
| Find all providers in ISSAQUAH | ||||
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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.