John L Herzog Sr. (NPI# 1093734949, PAC ID# 1355390964) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CARDIOVASCULAR DISEASE (CARDIOLOGY).
Nation Provider ID (NPI) | 1093734949 |
PAC ID by PECOS | 1355390964 |
Professional Enrollment ID | I20110128000684 |
Full Name | John L Herzog Sr. |
Address |
1421 E Union St Greenville MS 38703-3247 |
Gender | M |
Credential | MD |
Medical School | UNIVERSITY OF MISSISSIPPI SCHOOL OF MEDICINE |
Graduation Year | 1981 |
Primary Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
Secondary Specialties | INTERNAL MEDICINE |
Accepts Medicare Assignment | Y |
Claim Control Number (CCN) | Legal Business Name |
---|---|
250072 | MERIT HEALTH CENTRAL |
041328 | CHICOT MEMORIAL MEDICAL CENTER |
250099 | GREENWOOD LEFLORE HOSPITAL |
251318 | NORTH SUNFLOWER MEDICAL CENTER CAH |
250095 | SOUTH SUNFLOWER COUNTY HOSPITAL |
Address | Phone | Organization |
---|---|---|
301 Hospital Dr, Cleveland, MS 38732-2358 | ||
1421 E Union St, Greenville, MS 38703-3247 | ||
1693 Fairgrounds Rd, Greenville, MS 38703-7810 | 6627252749 | DELTA MEDICAL GROUP |
122 E Baker St, Indianola, MS 38751-2451 |
Street Address |
1421 E UNION ST |
City | GREENVILLE |
State | MS |
Zip | 38703-3247 |
Name | Specialty | Organization | Address |
---|---|---|---|
Philip D Doolittle | General Surgery | Greenville Surgical Clinic | 1214 Hospital St, Greenville, MS 38703-3213 |
Jeffrey Samuel Doolittle | General Surgery | Greenville Surgical Clinic | 1214 Hospital St, Greenville, MS 38703-3213 |
Felicia N White | Nurse Practitioner | Delta Health Center, Inc. | 1414 Hospital St, Greenville, MS 38703-3217 |
Parvez Karim | Internal Medicine | Premier Medical Clinic of Greenville PC | 1504 Hospital St, Greenville, MS 38703-3219 |
Geneva Curry | Nurse Practitioner | Premier Medical Clinic of Greenville PC | 1504 Hospital St, Greenville, MS 38703-3219 |
Michael J Cirilli | Internal Medicine | 1307 E Union St, Greenville, MS 38703-3245 | |
Lesia D Thomas | Nurse Practitioner | 1313 E Union St, Greenville, MS 38703-3245 | |
James C Hays Sr. | Cardiovascular Disease (cardiology) | Cardiovascular Physicians Pa | 1315 E Union St, Greenville, MS 38703-3245 |
Michael Mansour | Cardiovascular Disease (cardiology) | Cardiovascular Physicians Pa | 1315 E Union St, Greenville, MS 38703-3245 |
Larkin Mitchell | Anesthesiology | Premier Anesthesia of Mississippi | 1400 E Union St, Greenville, MS 38703-3246 |
Find all physicians in zip 38703 |
City | GREENVILLE |
Zip Code | 38703 |
Specialty | CARDIOVASCULAR DISEASE (CARDIOLOGY) |
City + Specialty | GREENVILLE + CARDIOVASCULAR DISEASE (CARDIOLOGY) |
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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.