JOHN L HERZOG SR. (NPI# 1093734949) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093734949 |
| Entity Type | Individual |
| Full Name | JOHN L HERZOG SR. |
| Credential | MD |
| Practice Address |
1421 E Union St Greenville MS 38703-3247 |
| Mailing Address |
Po Box 5368 Greenville MS 38704-5368 |
| Practice Telephone | 6623350183 |
| Practice Fax Number | 6623357184 |
| Mailing Telephone | 6623940107 |
| Mailing Fax Number | 6623357184 |
| Enumeration Date | 2006-07-19 |
| Last Update Date | 2020-08-21 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
09800 | MS | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 126236001 | 05 | |
| MS | MEDICARE | 060000624 | 01 |
| MS | 00123017 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255377438 | John C Herzog | Orthopaedic Surgery | 31 Myrtle St, Saratoga Springs, NY 12866-1036 | 2006-06-22 |
| 1265642425 | John Peter Herzog | Orthopaedic Surgery | 98 Clearwater Dr, Suite 4, Falmouth, ME 04105-1398 | 2007-05-23 |
| 1497801468 | John Andrew Herzog | Dentist | 78 Mckay St, Beverly, MA 01915 | 2007-01-25 |
| Street Address |
1421 E UNION ST |
| City | GREENVILLE |
| State | MS |
| Zip Code | 38703-3247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174506281 | Delta Heart & Vascular Center, P.a. | Clinic/Center | 1421 E Union St, Greenville, MS 38703-3247 | 2005-11-22 |
| 1346707338 | Esther Copeland | Nurse Practitioner | 1421 E Union St, Greenville, MS 38703-3247 | 2019-02-26 |
| 1407156730 | Melissa S Ferrell | Radiology Practitioner Assistant | 1421 E Union St, Greenville, MS 38703-3247 | 2010-11-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164031373 | Rohith Reddy Guduru Venkata | Family Medicine | Delta Regional Medical Center, 1400 E Union St, Greenville, MS 38703 | 2020-07-24 |
| 1720627599 | Ava Seniors Academy LLC | Clinic/Center | 2425 E. Alexander Street, Greenville, MS 38703 | 2019-12-27 |
| 1902370661 | River City Rehabilitation | Physical Therapy Assistant | 1707 South Colorado Suite A, Greenville, MS 38703 | 2019-01-16 |
| 1942743653 | Jalisa R Greer | Speech-Language Pathologist | 1462 S Colorado Street, Apt 2g, Greenville, MS 38703 | 2016-11-29 |
| 1912381609 | Mvp Health Systems | Pharmacy | 1907 N. Medical Park Drive, Greenville, MS 38703 | 2015-07-13 |
| 1558704387 | Joann Wilson | Driver | 1766 Old Leland Rd, Greenville, MS 38703 | 2013-04-11 |
| 1215167150 | Luther Brandon Oakes | Family Medicine | 1907 Lisa Drive Ext, Greenville, MS 38703 | 2009-07-24 |
| 1346462751 | Drs Lenoir and Cirilli Pa | Internal Medicine | 1307 East Union, Greenville, MS 38703 | 2007-05-03 |
| 1669598561 | Michael Joseph Cirilli | Internal Medicine | 1307 E Union, Doctors Lenoir & Cirilli Pa, Greenville, MS 38703 | 2007-03-22 |
| 1780740183 | Jean Marie Barker | Family Medicine | 1659 East Union Street, Greenville, MS 38703 | 2006-12-29 |
| Find all providers in zip 38703 | ||||
| Taxonomy Code | 207RC0000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| Specialization | Cardiovascular Disease |
| An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms. |
| Notes: Source: American Osteopathic Board of Internal Medicine, 2008 [7/1/2008: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, http://www.abim.org/. American Osteopathic Board of Internal Medicine, https://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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124657663 | Cardiosleep Diagnostics | Internal Medicine | 1862 Old Fort Rd, Greenville, NC 27834-9373 | 2020-04-06 |
| 1760770333 | Gregory Harris | Internal Medicine | 2340 Hemby Ln Ste 100, Greenville, NC 27834-3792 | 2011-07-18 |
| 1457641466 | Christopher French | Internal Medicine | 4211 Joe Ramsey Blvd E Ste 108, Greenville, TX 75401-7858 | 2011-04-11 |
| 1528225356 | Matthew B Sellers | Internal Medicine | 2 Innovation Dr., Ste. 400, Greenville, SC 29607-5270 | 2008-05-20 |
| 1093822421 | Lee A. Surkin | Internal Medicine | 2459 Emerald Pl Ste 102, Greenville, NC 27834-5739 | 2006-08-23 |
| 1992716732 | Kenneth A Hahn | Internal Medicine | 1306 Hospital St, Greenville, MS 38703-3215 | 2006-08-10 |
| 1578582441 | Cynthia Lynn Kues | Internal Medicine | 404 Durley St, Greenville, IL 62246-1504 | 2006-07-19 |
| 1326077058 | Michael Mansour | Internal Medicine | 1315 E Union St, Greenville, MS 38703-3245 | 2006-07-03 |
| 1427094432 | Kathleen Anne Mansour | Internal Medicine | 1513 E Union St, Greenville, MS 38703-3249 | 2006-06-20 |
| 1952364200 | James L Young Jr. | Internal Medicine | 14 Edgewood Drive, Greenville, SC 29605 | 2006-04-08 |
| Find all providers in GREENVILLE | ||||
| City | GREENVILLE |
| Zip Code | 38703 |
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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.