PHILIP FRANKLIN HERZOG (NPI# 1780732008) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780732008 |
| Entity Type | Individual |
| Full Name | PHILIP FRANKLIN HERZOG |
| Credential | M.D. |
| Practice Address |
2701 156th Ave Ne Redmond WA 98052-5513 |
| Mailing Address |
Po Box 34584 Seattle WA 98124-1584 |
| Practice Telephone | 4258835020 |
| Mailing Telephone | 5092417349 |
| Mailing Fax Number | 5092417628 |
| Enumeration Date | 2007-01-05 |
| Last Update Date | 2007-07-16 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 208000000X | Pediatrics | MD00017328 | WA | Allopathic & Osteopathic Physicians |
| Y | 2080P0207X |
Pediatrics Specialization: Pediatric Hematology-Oncology |
MD00017328 | WA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WA | 8446304 | 05 |
| Street Address |
2701 156TH AVE NE |
| City | REDMOND |
| State | WA |
| Zip Code | 98052-5513 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700942323 | Ruth T Emerson | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2006-12-28 |
| 1184824237 | Daniel C. Root | Dermatology | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-07-18 |
| 1770793622 | Elmer H. Green | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-05-22 |
| 1366565319 | Konping Khang | Pharmacist | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-04-06 |
| 1801916580 | Catherine T Yoo | Internal Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-03-29 |
| 1962522599 | Marshall H, Eaton | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-03-29 |
| 1942320502 | Amy E Jermann | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-03-29 |
| 1811026651 | Ann H Gelgisser | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-03-05 |
| 1851427405 | Thomas J Kimmel | Physician Assistant | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-02-26 |
| 1174658181 | Smitha Gatta | Family Medicine | 2701 156th Ave Ne, Redmond, WA 98052-5513 | 2007-02-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396301255 | Saraa Abdulateef | Dentist | 16150 Ne 85th St., #212, Redmond, WA 98052 | 2019-05-16 |
| 1174186837 | Zeinab Birjandian | Student in an Organized Health Care Education/Training Program | Carilion Roanoke Memorial Hospital, 1906 Belleview Ave, Roanoke, VA 98052 | 2019-04-18 |
| 1023584026 | Washington Dental Corporation, PC | Dentist | 17126 Redmond Way, Redmond, WA 98052 | 2018-10-17 |
| 1275047599 | Simeon P Roth | Pharmacist | 8547 Avondale Road Ne, Redmond, WA 98052 | 2017-11-22 |
| 1427560267 | Rania Abou Shadi | Pharmacy | 8862 161st Avenue Ne, Suite 102, Redmond, WA 98052 | 2017-11-02 |
| 1376068981 | Mark W Debourke | Clinic/Center | 7579 Old Redmond Rd, Apt 6, Redmond, WA 98052 | 2017-08-04 |
| 1740712280 | Hyomi Cho | Dentist | 15165 Ne24 Th St, Redmond, WA 98052 | 2017-04-03 |
| 1871033878 | Redmond Ambulatory Surgery Center, LLC | Clinic/Center | 18100 Ne Union Hill Rd Ste 340, Redmond, WA 98052 | 2017-02-24 |
| 1346797933 | Bridger Griffin | Speech-Language Pathologist | 8301 16st Ave Ne, Redmond, WA 98052 | 2016-09-01 |
| 1508313123 | Austin Schieler | Pharmacist | 14480 Ne 24th Street, Redmond, WA 98052 | 2016-09-01 |
| Find all providers in zip 98052 | ||||
| Taxonomy Code | 2080P0207X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| Specialization | Pediatric Hematology-Oncology |
| A pediatrician trained in the combination of pediatrics, hematology and oncology to recognize and manage pediatric blood disorders and cancerous diseases. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) was provided by the American Osteopathic Board of Pediatrics. The Certification is no longer offered. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750795654 | Raghav Chawla | Pediatrics | 4800 Sand Point Way Ne, B-6553, Seattle, WA 98105 | 2014-06-18 |
| 1780792622 | Phoenix A Ho | Pediatrics | 2324 Eastlake Ave E Ste 500, Seattle, WA 98102-6536 | 2006-08-29 |
| 1164428116 | Jeffrey Howard Davis | Pediatrics | 3475 N Saratoga St, Oak Harbor, WA 98278-4927 | 2005-06-23 |
| 1285637132 | Aaron C Pitney | Pediatrics | 9040a Jackson Avenue, Mchj-clp, Tacoma, WA 98431 | 2005-05-24 |
| 1497174759 | Erin E Crotty | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105-3901 | 2014-04-15 |
| 1871912261 | Anurekha Gollapudi | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2014-04-14 |
| 1073930277 | Cassie Kai-chi Chou | Pediatrics | 4800 Sand Point Way Ne, Oc.7.830, Seattle, WA 98105-3901 | 2014-03-25 |
| 1184966251 | Michelle Ting | Pediatrics | 4800 Sand Point Way Ne, Seattle, WA 98105 | 2013-03-26 |
| 1598007890 | Jay Sarthy | Pediatrics | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2013-03-25 |
| 1134460751 | Neel Sanjivbhai Bhatt | Pediatrics | 825 Eastlake Ave E, Seattle, WA 98109-4405 | 2013-03-06 |
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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.