Mallory Hertz (NPI# 1578019212, PAC ID# 0143509380) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PHYSICAL THERAPY.
| Nation Provider ID (NPI) | 1578019212 |
| PAC ID by PECOS | 0143509380 |
| Professional Enrollment ID | I20161111000093 |
| Full Name | Mallory Hertz |
| Organization Legal Name | EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC |
| Address |
600 N Sioux Point Rd Dakota Dunes SD 57049-5000 |
| Phone Number | 6052174320 |
| Gender | F |
| Medical School | MAYO MEDICAL SCHOOL |
| Graduation Year | 2014 |
| Primary Specialty | PHYSICAL THERAPY |
| Group Practice PAC ID | 9335249457 |
| Number of Group Practice Members | 15 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 12499 University Ave, Suite 250, Clive, IA 50325-8271 | 5159857530 | EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC |
| 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | 6052174320 | EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC |
| Organization Legal Name | EAR NOSE AND THROAT CONSULTANTS AND HEARING SERVICES PLC |
| Physicians | 18 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Annette Bosman | Physical Therapy | Ear Nose and Throat Consultants and Hearing Services Plc | 12499 University Ave, Suite 250, Clive, IA 50325-8271 |
| Megan Marie Wegher | Qualified Audiologist | Ear Nose and Throat Consultants and Hearing Services Plc | 101 Tower Rd, Suite 110 120, Dakota Dunes, SD 57049-5007 |
| Kevin C Pons | Qualified Audiologist | Ear Nose and Throat Consultants and Hearing Services Plc | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Maria A Azpeitia | Nurse Practitioner | Ear Nose and Throat Consultants and Hearing Services Plc | 801 5th St, Sioux City, IA 51101-1326 |
| Nathan Charles O'neill | Physical Therapy | Ear Nose and Throat Consultants and Hearing Services Plc | 12499 University Ave, Suite 250, Clive, IA 50325-8271 |
| Thomas J Kenny Iv | Otolaryngology | Ear Nose and Throat Consultants and Hearing Services Plc | 714 Lincoln St Ne, Le Mars, IA 51031-3314 |
| Adrian Aylor | Qualified Audiologist | Ear Nose and Throat Consultants and Hearing Services Plc | 101 Tower Rd, Suite 110 120, Dakota Dunes, SD 57049-5007 |
| Reason A Ford | Otolaryngology | Ear Nose and Throat Consultants and Hearing Services Plc | 801 5th St, Sioux City, IA 51101-1326 |
| Jessica L Bowman | Nurse Practitioner | Ear Nose and Throat Consultants and Hearing Services Plc | 714 Lincoln St Ne, Le Mars, IA 51031-3314 |
| Sarah M Sitzmann-ruehle | Physical Therapy | Ear Nose and Throat Consultants and Hearing Services Plc | 12499 University Ave, Suite 250, Clive, IA 50325-8271 |
| Street Address |
600 N SIOUX POINT RD |
| City | DAKOTA DUNES |
| State | SD |
| Zip | 57049-5000 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Robert P Swenson | Certified Registered Nurse Anesthetist (crna) | Siouxland Anesthesiology Ltd | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Jody L Borg | Certified Registered Nurse Anesthetist (crna) | Siouxland Anesthesiology Ltd | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Ryan Joel Anderson | Certified Registered Nurse Anesthetist (crna) | Siouxland Anesthesiology Ltd | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Jesse Alan Hyde | Certified Registered Nurse Anesthetist (crna) | Siouxland Anesthesiology Ltd | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Deborah L Carter | Certified Registered Nurse Anesthetist (crna) | Siouxland Anesthesiology Ltd | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Faye M Winder | Physician Assistant | Cnos PC | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| John E Cook | Anesthesiology | Midwest Pain Clinic PC | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Kevin C Pons | Qualified Audiologist | Ear Nose and Throat Consultants and Hearing Services Plc | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Stephen Craig Liddiard | Physician Assistant | Cnos PC | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Todd C Johnson | Anesthesiology | Siouxland Anesthesiology Ltd | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Adam Lowell Bobier | Chiropractic | 558 River Dr, North Sioux City, SD 57049-3007 | |
| Daniel S Rabbitt | Optometry | 100 River Dr, North Sioux City, SD 57049-3147 | |
| Kevin J Campbell | Chiropractic | Campbell Chiropractic Clinic PC | 118 Gateway Dr, North Sioux City, SD 57049-3171 |
| Thomas G Pratt | Optometry | Beth Bruening PC | 600 N Sioux Point Rdsts, Dakota Dunes, SD 57049-5000 |
| Barbara Goede | Certified Registered Nurse Anesthetist | Siouxland Anesthesiology, Ltd | 600 Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Richard L Lawton | Orthopedic Surgery | Cnos PC | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Scott M Feese | Physician Assistant | Cnos PC | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Sandra L Shumaker | Nurse Practitioner | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 | |
| Andrew T Kappenman | Certified Registered Nurse Anesthetist (crna) | Siouxland Anesthesiology Ltd | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Benjamin T Bissell | Orthopedic Surgery | Cnos PC | 600 N Sioux Point Rd, Dakota Dunes, SD 57049-5000 |
| Find all physicians in zip 57049 | |||
| City | DAKOTA DUNES |
| Zip Code | 57049 |
| Specialty | PHYSICAL THERAPY |
| City + Specialty | DAKOTA DUNES + PHYSICAL THERAPY |
Please comment or provide details below to improve the information on Mallory Hertz.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.