CARRIE HERZOG (NPI# 1972807964) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972807964 |
| Entity Type | Individual |
| Full Name | CARRIE HERZOG |
| Credential | DC |
| Practice Address |
7190 Sw 87th Ave Suite 304 Miami FL 33173-2507 |
| Mailing Address |
920 Tangier St Coral Gables FL 33134-2481 |
| Practice Telephone | 3056612299 |
| Practice Fax Number | 3056610851 |
| Mailing Telephone | 5615432053 |
| Enumeration Date | 2011-01-05 |
| Last Update Date | 2016-11-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 111N00000X | Chiropractor | CH7415 | FL | Chiropractic Providers |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
PA9109740 | FL | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address |
7190 SW 87TH AVE SUITE 304 |
| City | MIAMI |
| State | FL |
| Zip Code | 33173-2507 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154311264 | Joaquin Nicolas Diego | Internal Medicine | 7190 Sw 87th Ave, Suite# 202, Miami, FL 33173-2507 | 2005-10-28 |
| 1932574894 | Maikel Couto | Nurse Practitioner | 7190 Sw 87th Ave, Suite 202, Miami, FL 33173-2507 | 2015-12-03 |
| 1598138687 | Quality Primary & Geriatric Care of South Florida | Internal Medicine | 7190 Sw 87th Ave, 203, Miami, FL 33173-2507 | 2015-11-11 |
| 1962871954 | Leydi Carballo | Nurse Practitioner | 7190 Sw 87th Ave, Suite 203, Miami, FL 33173-2507 | 2015-09-19 |
| 1063759645 | Bryan Calvo Dpm Pa | Podiatrist | 7190 Sw 87th Ave, Suite 205, Miami, FL 33173-2507 | 2013-01-15 |
| 1831465954 | Joseph James Laconti | Internal Medicine | 7190 Sw 87th Ave, Suite 304, Miami, FL 33173-2507 | 2012-03-23 |
| 1669705513 | Bryan Calvo | Podiatrist | 7190 Sw 87th Ave, Suite 205, Miami, FL 33173-2507 | 2009-09-10 |
| 1922281336 | Cardiology Healthcare of South Florida Corp | Specialist | 7190 Sw 87th Ave, Suite 202, Miami, FL 33173-2507 | 2007-12-07 |
| 1295870426 | Weitz & Ritter Md Pa | Internal Medicine | 7190 Sw 87th Ave, 304, Miami, FL 33173-2507 | 2007-02-21 |
| 1922141852 | Felipe Antonio Del Valle Md Pa | Internal Medicine | 7190 Sw 87th Ave, Suite 203, Miami, FL 33173-2507 | 2007-02-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598374613 | Derrick George Dyer | Behavioral Analyst | 11025 Sw 84t St. Cottage 8, Miami, FL 33173 | 2020-07-24 |
| 1306405477 | Erich Soto Del Valle | Dentist | 7125 Sw 111th Ct, Miami, FL 33173 | 2019-06-11 |
| 1356819247 | Berenice E De La Mota | Dietitian, Registered | 7500 Sw 87 Avenue # 200, Miami, FL 33173 | 2018-11-08 |
| 1386146850 | Yordanka Arango | Assistant Behavior Analyst | 11415 Sw 59 Terr, Miami, FL 33173 | 2018-03-01 |
| 1851806632 | Juliana Orozco | Acupuncturist | 9240 Sunset Dr Ste 229, Miami, FL 33173 | 2017-12-03 |
| 1447760749 | Irfan Saeed | Nurse Practitioner | 8401 Sw 107 Avenue, Apt 335e, Miami, FL 33173 | 2017-10-02 |
| 1619491339 | Malciel Bonilla | Assisted Living Facility | 9830 Sw 80 Dr, Miami, FL 33173 | 2017-08-03 |
| 1144744467 | Yoislan Daniel Daniel | Behavioral Analyst | 10261 Sw 72 St Suite C104, Miami, FL 33173 | 2017-07-28 |
| 1083137061 | Berkis Serrat Esnobol | Behavior Technician | 8961 Sw 72nd St Apt 121, Miami, FL 33173 | 2017-07-20 |
| 1215478276 | Leonel Diaz Rapado | Behavior Technician | 8015 Sw 107 Ave, Apt 315, Miami, FL 33173 | 2017-03-10 |
| Find all providers in zip 33173 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417574450 | Carlos Humberto Jaen Sr. | Physician Assistant | 1685 Sw 17th Ter, Miami, FL 33145-2809 | 2020-06-25 |
| 1386265122 | Monarch Mental Health Services, LLC | Physician Assistant | 648 Nw 183 St, Miami, FL 33169 | 2020-05-04 |
| 1174037477 | Polina Dasgupta | Physician Assistant | 1390 Brickell Ave Ste 340, Miami, FL 33131-3324 | 2017-11-22 |
| 1437514247 | Evelyn Hernandez | Physician Assistant | 13024 Sw 108th Street Cir, Miami, FL 33186-3419 | 2015-12-21 |
| 1366813966 | Mabel Marichal | Physician Assistant | 13205 Sw 137th Ave Ste 221, Miami, FL 33186 | 2015-10-08 |
| 1427444033 | Tecresha Shaw | Physician Assistant | 104 Nw 145th St, Miami, FL 33168-4930 | 2015-04-09 |
| 1356730964 | Christopher Alvaro Ortiz | Physician Assistant | 9401 Sw 105th Ave, Miami, FL 33176-2623 | 2015-01-20 |
| 1275937948 | Nicole Quicuti | Physician Assistant | 12061 Sw 126th Ter, Miami, FL 33186-6107 | 2014-10-09 |
| 1356750541 | Jonathan E Delvalle | Physician Assistant | 2400 Nw 54th St, Miami, FL 33142-2946 | 2014-08-13 |
| 1164853149 | Melissa Troha | Physician Assistant | 7800 Sw 87th Ave # B200, Miami, FL 33173 | 2013-12-02 |
| Find all providers in MIAMI | ||||
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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.