John C Herzog (NPI# 1255377438, PAC ID# 7214966134) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is ORTHOPEDIC SURGERY.
| Nation Provider ID (NPI) | 1255377438 |
| PAC ID by PECOS | 7214966134 |
| Professional Enrollment ID | I20050810000792 |
| Full Name | John C Herzog |
| Organization Legal Name | JOHN C. HERZOG, DO, PLLC |
| Address |
7 Murray St Glens Falls NY 12801-4311 |
| Phone Number | 5187431010 |
| Gender | M |
| Credential | DO |
| Medical School | NEW YORK COLLEGE OF OSTEO MEDICINE OF NEW YORK INSTITUTE OF TECHNOLOGY |
| Graduation Year | 1998 |
| Primary Specialty | ORTHOPEDIC SURGERY |
| Group Practice PAC ID | 2264507110 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 330222 | SARATOGA HOSPITAL |
| 330250 | CHAMPLAIN VALLEY PHYSICIANS HOSPITAL MEDICAL CTR |
| 331302 | ELIZABETHTOWN COMMUNITY HOSPITAL |
| 330079 | ADIRONDACK MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 7 Murray St, Glens Falls, NY 12801-4311 | 5187431010 | JOHN C. HERZOG, DO, PLLC |
| 31 Myrtle St, Saratoga Springs, NY 12866-1036 | 5187431010 | JOHN C. HERZOG, DO, PLLC |
| Organization Legal Name | JOHN C. HERZOG, DO, PLLC |
| Physicians | 9 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Radana Dooley | Physical Medicine and Rehabilitation | John C. Herzog, Do, Pllc | 31 Myrtle St, Saratoga Springs, NY 12866-1036 |
| Armin Afsar Keshmiri | Orthopedic Surgery | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Sheilah Dawn Scofield | Nurse Practitioner | John C. Herzog, Do, Pllc | 31 Myrtle St, Saratoga Springs, NY 12866-1036 |
| Ricky A Varone | Physician Assistant | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Christopher J Evans | Physician Assistant | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Jamie Marie Stahlman | Nurse Practitioner | John C. Herzog, Do, Pllc | 31 Myrtle St, Saratoga Springs, NY 12866-1036 |
| Christopher S Stephens | Physician Assistant | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Hetal T Amin | Family Practice | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Street Address |
7 MURRAY ST |
| City | GLENS FALLS |
| State | NY |
| Zip | 12801-4311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Armin Afsar Keshmiri | Orthopedic Surgery | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Ricky A Varone | Physician Assistant | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Christopher J Evans | Physician Assistant | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Christopher S Stephens | Physician Assistant | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Hetal T Amin | Family Practice | John C. Herzog, Do, Pllc | 7 Murray St, Glens Falls, NY 12801-4311 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Cara A Bedore | Qualified Audiologist | Susan Boggia Audiology, PC | 318 Ridge St, Glens Falls, NY 12801-1552 |
| Susan C Boggia | Qualified Audiologist | Susan Boggia Audiology, PC | 318 Ridge St, Glens Falls, NY 12801-1552 |
| Debra J Pietrangelo | Psychologist, Clinical | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Lynn M Edgerly | Clinical Social Worker | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Brenda J Arley | Certified Clinical Nurse Specialist (cns) | 499 Glen St, Glens Falls, NY 12801-2205 | |
| Joseph Mckay | Clinical Social Worker | 498 Glen St, Glens Falls, NY 12801-2230 | |
| Peter M Hughes | Urology | 526 Glen St, Glens Falls, NY 12801-2232 | |
| Terry L Walton | Optometry | Terry L Walton Doctor of Optometry PC | 575 Glen St, Box 2071, Glens Falls, NY 12801-2243 |
| Brenda M Dobie | Optometry | Adirondack Eye Physicians and Surgeons PC | 152 Bay St, Glens Falls, NY 12801-2329 |
| Richard S Price | Optometry | Adirondack Eye Physicians and Surgeons PC | 152 Bay St, Glens Falls, NY 12801-2329 |
| Find all physicians in zip 12801 | |||
| City | GLENS FALLS |
| Zip Code | 12801 |
| Specialty | ORTHOPEDIC SURGERY |
| City + Specialty | GLENS FALLS + ORTHOPEDIC SURGERY |
Please comment or provide details below to improve the information on John C Herzog.
| 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.