LESLIE M HERTZ (NPI# 1164566972) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164566972 |
| Entity Type | Individual |
| Full Name | LESLIE M HERTZ |
| Other Name | LESLIE M FOX |
| Credential | MD |
| Practice Address |
3807 Spring St Racine WI 53405-1667 |
| Practice Telephone | 2626878282 |
| Practice Fax Number | 2626876737 |
| Mailing Telephone | 2626878282 |
| Mailing Fax Number | 2626876737 |
| Enumeration Date | 2007-02-16 |
| Last Update Date | 2019-08-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 208000000X | Pediatrics | 37663 | WI | Allopathic & Osteopathic Physicians |
| Street Address |
3807 SPRING ST |
| City | RACINE |
| State | WI |
| Zip Code | 53405-1667 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194362160 | Kylie S Nordness | Physician Assistant | 3807 Spring St, Racine, WI 53405-1667 | 2019-12-09 |
| 1164731923 | Muhammad Erfan Ahmad | Family Medicine | 3807 Spring St, Racine, WI 53405 | 2010-09-28 |
| 1407177991 | Rosamma T John | Nurse Practitioner | 3807 Spring St, Racine, WI 53405-1667 | 2010-06-18 |
| 1790941227 | Srilatha Atluri Lazzaro | Allergy & Immunology | 3807 Spring St, Racine, WI 53405-1667 | 2008-08-04 |
| 1154510113 | Linda M Thomson | Pharmacist | 3807 Spring St, Racine, WI 53405-1667 | 2007-10-16 |
| 1922297969 | Joseph F Menden | Pharmacist | 3807 Spring St, Racine, WI 53405-1667 | 2007-10-16 |
| 1356534143 | Lori L Henderson | Nurse Practitioner | 3807 Spring St, 3rd Floor-east Wing, Racine, WI 53405-1667 | 2007-08-24 |
| 1548472657 | Kristen Wasilowski Cook | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2007-05-03 |
| 1891806873 | Joy Briggs | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-08-31 |
| 1639189384 | Derek Turner | Internal Medicine | 3807 Spring St, Racine, WI 53405-1667 | 2006-08-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609407923 | Anita Kathy Nykaza | Dietitian, Registered | 3805 A Suite 311, Racine, WI 53405 | 2020-01-27 |
| 1023666062 | Shawn L Drulia | Physician Assistant | 3805 Spring St #320, Racine, WI 53405 | 2019-09-03 |
| 1235627720 | Oxygen One, Inc. | Durable Medical Equipment & Medical Supplies | 3805a Spring Street, Suite 210, Racine, WI 53405 | 2018-04-30 |
| 1356838650 | Melissa Metzger | Psychologist | 2340 Mohr Ave, Racine, WI 53405 | 2018-04-23 |
| 1689029217 | Melissa Ileen Swainston | Nurse Practitioner | 3803 Spring St., Suite Number 410, Racine, WI 53405 | 2016-05-02 |
| 1215305487 | Denetta Lauraelaine Flowers | Licensed Practical Nurse | 4311 Durand Ave., #104, Mt.pleasant, WI 53405 | 2015-09-04 |
| 1841675204 | Colleen Koderca | Registered Nurse | 3317-meachem Rd, Racine, WI 53405 | 2015-07-28 |
| 1790102986 | Georges Wakim | Specialist/Technologist | 3811 Spring St., Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1982021176 | Matthew F Patzke | Specialist/Technologist | 3811 Spring Street Suite 102, Racine, WI 53405 | 2014-03-25 |
| 1073930269 | Jessica Geisler | Specialist/Technologist | 3811 Spring Street Suite #102, Racine, WI 53405 | 2014-03-25 |
| Find all providers in zip 53405 | ||||
| Taxonomy Code | 208000000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Pediatrics |
| A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. American Osteopathic Board of Pediatrics, 2007. http://www.osteopathic.org/certificatio - Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Pediatrics. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225409048 | Lotus Comprehensive Health Care, Sc | Pediatrics | 2010 Indiana St, Racine, WI 53405-3651 | 2015-10-20 |
| 1518127463 | Peter August Gardetto | Pediatrics | 475 Windridge Dr, Racine, WI 53402-2658 | 2008-06-13 |
| 1194064865 | Children's Hospital of Wisconsin | Pediatrics | 2405 Northwestern Ave, Suite 205, Racine, WI 53404-2534 | 2013-01-31 |
| 1134324502 | Katherine Furman Canfield | Pediatrics | 3821 Spring St, Racine, WI 53405-1667 | 2007-06-18 |
| 1548472657 | Kristen Wasilowski Cook | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2007-05-03 |
| 1891806873 | Joy Briggs | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-08-31 |
| 1013930106 | Jeffrey Naus | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-07-26 |
| 1346264470 | Willard Nettles | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-07-26 |
| 1598788283 | George Milonas | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-07-25 |
| 1982627642 | Scott W. Meyer | Pediatrics | 3807 Spring St, Racine, WI 53405-1667 | 2006-07-25 |
| Find all providers in RACINE | ||||
Please comment or provide details below to improve the information on LESLIE M HERTZ.
| 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.