Richard J Herold (NPI# 1891799318, PAC ID# 9133134448) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1891799318 |
| PAC ID by PECOS | 9133134448 |
| Professional Enrollment ID | I20060208000113 |
| Full Name | Richard J Herold |
| Organization Legal Name | ST MARKS PHYSICIAN BILLING LLC |
| Address |
1160 E 3900 S G200 Salt Lake City UT 84124-1224 |
| Phone Number | 8012687766 |
| Gender | M |
| Credential | MD |
| Medical School | SAINT LOUIS UNIVERSITY SCHOOL OF MEDICINE |
| Graduation Year | 1976 |
| Primary Specialty | INTERNAL MEDICINE |
| Group Practice PAC ID | 6103061072 |
| Number of Group Practice Members | 7 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 460047 | ST MARK'S HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 | 8012687766 | ST MARKS PHYSICIAN BILLING LLC |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_1 | Immunization Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_2 | Syndromic Surveillance Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PHCDRR_3 | Specialized Registry Reporting | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % |
| Organization Legal Name | ST MARKS PHYSICIAN BILLING LLC |
| Physicians | 7 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mina Gohari | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Matthew Wayne Jarvis | Nurse Practitioner | St Marks Physician Billing LLC | 1250 E 3900 S, 30 St Marks Interventional Pain Center, Salt Lake City, UT 84124-1354 |
| Cynthia J Lawlor | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Rebecca H Moore | Nephrology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Danesh Rahimi | Internal Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Richard L Glines | Anesthesiology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Street Address |
1160 E 3900 S G200 |
| City | SALT LAKE CITY |
| State | UT |
| Zip | 84124-1224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Mina Gohari | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Steven Charles Simper | General Surgery | 1160 E 3900 S, Suite 4100, Salt Lake City, UT 84124-1246 | |
| Rodrick D Mckinlay | General Surgery | 1160 E 3900 S, Suite 4100, Salt Lake City, UT 84124-1246 | |
| Cynthia J Lawlor | Family Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Rebecca H Moore | Nephrology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Danesh Rahimi | Internal Medicine | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Richard L Glines | Anesthesiology | St Marks Physician Billing LLC | 1160 E 3900 S, G200, Salt Lake City, UT 84124-1224 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Melisa S Steele | Nurse Practitioner | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Jan B Bernhisel-broadbent | Allergy/immunology | Granger Medical Clinic Inc | 1121 E 3900, Suite C130 Millcreek, Salt Lake City, UT 84124-1200 |
| Nathan Grant Adams | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Michael A Gladwell | Maxillofacial Surgery | Oral and Facial Reconstructive Surgeons of Utah LLC | 3920 S 1100, Suite 150, Salt Lake City, UT 84124-1213 |
| Sarah Elaine Kaihau | Nurse Practitioner | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Timothy Champlin | Clinical Social Worker | Valley Mental Health Incorporated | 1141 E 3900 S, A220, Salt Lake City, UT 84124-1215 |
| Jacqueline A Lobsiger | Nurse Practitioner | Granger Medical Clinic Inc | 1160 E 3900, Suite 1000 Wasatch, Salt Lake City, UT 84124-1233 |
| Zaneta Bulaj | Family Medicine | Granger Medical Clinic Inc | 1160 E 3900, Suite 1000 Wasatch, Salt Lake City, UT 84124-1233 |
| Stacey Bank | Family Practice | Granger Medical Clinic Inc | 1160 E 3900, Suite 1000 Wasatch, Salt Lake City, UT 84124-1233 |
| Gregory T Almony | Cardiovascular Disease (cardiology) | Mountainstar Cardiology St Marks LLC | 1160 E 3900, Suite 2000, Salt Lake City, UT 84124-1236 |
| Find all physicians in zip 84124 | |||
| City | SALT LAKE CITY |
| Zip Code | 84124 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | SALT LAKE CITY + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Richard J Herold.
| 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.