David R Hertzog (NPI# 1336188945, PAC ID# 7810929486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERVENTIONAL RADIOLOGY.
| Nation Provider ID (NPI) | 1336188945 |
| PAC ID by PECOS | 7810929486 |
| Professional Enrollment ID | I20070918000390 |
| Full Name | David R Hertzog |
| Organization Legal Name | AMERICAN ACCESS CARE OF SP LLC |
| Address |
2412 W Passyunk Ave 14 Azura Vascular Care South Philadelphia Philadelphia PA 19145-4114 |
| Phone Number | 2154622100 |
| Gender | M |
| Graduation Year | 1981 |
| Primary Specialty | INTERVENTIONAL RADIOLOGY |
| Group Practice PAC ID | 2365411469 |
| Number of Group Practice Members | 6 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 25 Crossroads Dr, Suite 110, Owings Mills, MD 21117-5444 | 4103632192 | AMERICAN ACCESS CARE OF TOWSON LLC |
| 2412 W Passyunk Ave, 14 Azura Vascular Care South Philadelphia, Philadelphia, PA 19145-4114 | 2154622100 | AMERICAN ACCESS CARE OF SP LLC |
| 2235 Staples Mill Rd, Suite 104, Richmond, VA 23230-2942 | 8043559729 | AMERICAN ACCESS CARE OF RICHMOND |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_076_overall | Prevention of Central Venous Catheter (CVC) - Related Bloodstream Infections | 100% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_130_overall | Documentation of Current Medications in the Medical Record | 99% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 98% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 98% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 98% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 98% | |
| MIPS_EC_145_overall | Radiology: Exposure Dose or Time Reported for Procedures Using Fluoroscopy | 98% |
| Organization Legal Name | AMERICAN ACCESS CARE OF SP LLC |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Troutman | General Surgery | American Access Care of Sp LLC | 2412 W Passyunk Ave, 14 Azura Vascular Care South Philadelphia, Philadelphia, PA 19145-4114 |
| Louis Domenico Jr. | Interventional Radiology | American Access Care of Sp LLC | 2412 W Passyunk Ave, 14 Azura Vascular Care South Philadelphia, Philadelphia, PA 19145-4114 |
| Street Address |
2412 W PASSYUNK AVE 14 AZURA VASCULAR CARE SOUTH PHILADELPHIA |
| City | PHILADELPHIA |
| State | PA |
| Zip | 19145-4114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas Troutman | General Surgery | American Access Care of Sp LLC | 2412 W Passyunk Ave, 14 Azura Vascular Care South Philadelphia, Philadelphia, PA 19145-4114 |
| Louis Domenico Jr. | Interventional Radiology | American Access Care of Sp LLC | 2412 W Passyunk Ave, 14 Azura Vascular Care South Philadelphia, Philadelphia, PA 19145-4114 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Larry Shusterman | Internal Medicine | 1600 S 28th St, Phila, PA 19145-1202 | |
| Bruce Irwin Ackerman | Podiatry | 1602 S Broad St, Philadelphia, PA 19145-1509 | |
| Scott J Pello | Pain Management | 6325 Woodland Ave, Philadelphia, PA 19145-2036 | |
| James H Dovnarsky | Internal Medicine | Pulmonary Diease Association | 1726 S Broad St, Suite 103, Philadelphia, PA 19145-2300 |
| Julia Beth Brody | Pulmonary Disease | Pulmonary Diease Association | 1726 S Broad St, Philadelphia, PA 19145-2300 |
| Christina Marie Dougherty | Clinical Social Worker | 1840 S Broad St, Philadelphia, PA 19145-2303 | |
| Julio L Kuperman | Neurology | 1900 S Broad St, Grnd Floor, Phila, PA 19145-2304 | |
| Hope S Selarnick | Psychiatry | 1900 S Broad St, Phila, PA 19145-2304 | |
| John C Roi | Podiatry | 1442 Mckean St, Philadelphia, PA 19145-2308 | |
| Noi Walkenstein | Internal Medicine | Spuc, LLC | 1444 W Passyunk Ave, Doctors Express Urgent Care, Philadelphia, PA 19145-2312 |
| Find all physicians in zip 19145 | |||
| City | PHILADELPHIA |
| Zip Code | 19145 |
| Specialty | INTERVENTIONAL RADIOLOGY |
| City + Specialty | PHILADELPHIA + INTERVENTIONAL RADIOLOGY |
Please comment or provide details below to improve the information on David R Hertzog.
| 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.