RONALD D HERTZ (NPI# 1053304816) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1053304816 |
Entity Type | Individual |
Full Name | RONALD D HERTZ |
Credential | DO |
Practice Address |
19251 Mack Ave Grosse Pointe Woods MI 48236-2893 |
Mailing Address |
22201 Moross 270 Detroit MI 48236-1136 |
Practice Telephone | 3133433749 |
Practice Fax Number | 3133437921 |
Mailing Telephone | 3133437280 |
Mailing Fax Number | 3133437921 |
Enumeration Date | 2005-08-26 |
Last Update Date | 2011-02-17 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207RA0000X |
Internal Medicine Specialization: Adolescent Medicine |
5101010791 | MI | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MI | 4435427 | 05 |
Street Address |
19251 MACK AVE |
City | GROSSE POINTE WOODS |
State | MI |
Zip Code | 48236-2893 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1356334270 | Mohammed K Beeai | Internal Medicine | 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2893 | 2005-08-25 |
1376032995 | Varsha Das | Pediatrics | 19251 Mack Ave, Grosse Pointe Woods, MI 48236-2893 | 2018-05-09 |
1407224769 | Amy Stros | Nurse Practitioner | 19251 Mack Ave, Suite 100, Grosse Pointe Woods, MI 48236-2893 | 2015-09-03 |
1255772323 | Alexander Boikov | Radiology | 19251 Mack Ave, Suite 340, Grosse Pointe Woods, MI 48236-2893 | 2013-07-17 |
1417211780 | Lena Derani | Internal Medicine | 19251 Mack Ave, Suite 340, Grosse Pointe Woods, MI 48236-2893 | 2012-07-01 |
1083927511 | Praneil Dave Mehta | Internal Medicine | 19251 Mack Ave, Suite 335, Grosse Pointe Woods, MI 48236-2893 | 2010-07-26 |
1659501401 | Hima Katkuri | Internal Medicine | 19251 Mack Ave, Suite 335, Grosse Pointe Woods, MI 48236-2893 | 2009-07-14 |
1306008800 | Toothworks PC | Dentist | 19251 Mack Ave, Suite 220, Grosse Pointe Woods, MI 48236 | 2008-06-26 |
1659547925 | Danielle A. Osterholzer | Internal Medicine | 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2893 | 2008-05-06 |
1144492281 | Jeremy Lee Henson | Internal Medicine | 19251 Mack Ave, Ste 333, Grosse Pointe Woods, MI 48236-2893 | 2008-03-28 |
Find all providers in the same location |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093323966 | Khairya Fatouh | Pathology | 22101 Morros Road, Pathology Department, Detroit, Detroit, MI 48236 | 2020-07-16 |
1134744998 | Harish Harry Gidda | Internal Medicine | 22201 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-06-08 |
1770107443 | Arshan Ali Khan | Internal Medicine | 22101 Moross Rd, Suite 50, Detroit, MI 48236 | 2020-05-29 |
1750901658 | Annika Van Wieren | Emergency Medicine | 22101 Moross Road, Emergency Department, Detroit, MI 48236 | 2020-04-21 |
1801449483 | Ishaq Azeem Asghar | Student in an Organized Health Care Education/Training Program | 22101 Moross Road, Pathology Department, Detroit, MI 48236 | 2019-07-22 |
1295290443 | Ascension St. John Hospital | Dietitian, Registered | 22201 Moross, Ste. 270, Detriot, MI 48236 | 2019-02-01 |
1548747413 | Abiodun Adenuga Adefarasin | Pharmacist | 20746 Mack Avenue, Gross Pointe Woods, MI 48236 | 2018-07-24 |
1629564042 | Hamza H Khan | Student in an Organized Health Care Education/Training Program | 22201 Moross, Professional Building 2, Suite 70, Detroit, MI 48236 | 2018-07-09 |
1235631664 | David Lee Williams | Physical Therapist | 159 Kercheval Avenue, Grosse Pointe Farms, MI 48236 | 2018-03-01 |
1164979720 | Memphie Morgan | Licensed Practical Nurse | 91527 Cheshire St., Grosse Pointe, MI 48236 | 2016-09-01 |
Find all providers in zip 48236 |
Taxonomy Code | 207RA0000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Internal Medicine |
Specialization | Adolescent Medicine |
An internist who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
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1629505821 | Ultimate Service Care LLC | Internal Medicine | G3500 Flushing Rd Ste 200, Flint, MI 48504-4247 | 2017-05-18 |
1841312659 | Shahina Arif Motorwala | Internal Medicine | 2116 S Wayne Rd, Westland, MI 48186 | 2007-04-04 |
1609919323 | Mohammad Khalaf Batayneh | Internal Medicine | 32472 Schoolcraft Rd, Livonia, MI 48150-4309 | 2007-02-14 |
1255499257 | Zafer Obeid | Internal Medicine | 16921 W Warren Ave, Detroit, MI 48228-3505 | 2006-12-04 |
1306858980 | Thomas J W Bering, Md, PC | Internal Medicine | 2311 15 Mile Rd, Suite A, Sterling Heights, MI 48310-4812 | 2006-08-12 |
1174544050 | Lifetime Medical Associates, P.C. | Internal Medicine | 1701 South Blvd E Ste 250, Rochester Hills, MI 48307-6123 | 2006-07-23 |
1871554485 | Abraham Oommen | Internal Medicine | 200 W Center St, Alma, MI 48801-2207 | 2006-03-31 |
1225006745 | Jawahar L Tummala | Internal Medicine | 5084 W Pierson Rd, Flint, MI 48504-1390 | 2006-03-10 |
1538167572 | Jonathon K Nicholson | Internal Medicine | 393 Long Rapids Rd, Alpena, MI 49707-1317 | 2005-07-13 |
1316379936 | Iha Health Services Corporation | Internal Medicine | 111 N Huron St, Suite 200, Ypsilanti, MI 48197-2676 | 2013-08-06 |
Find all providers with the same taxonomy |
City | GROSSE POINTE WOODS |
Zip Code | 48236 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.