DR. JACKIE HERZBERG (NPI# 1558712430) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558712430 |
| Entity Type | Individual |
| Full Name | DR. JACKIE HERZBERG |
| Credential | M.D. |
| Practice Address |
2790 Clay Edwards Dr Ste 530 North Kansas City MO 64116-3266 |
| Practice Telephone | 8164523300 |
| Practice Fax Number | 8164530677 |
| Mailing Telephone | 8164523300 |
| Mailing Fax Number | 8164530677 |
| Enumeration Date | 2016-06-22 |
| Last Update Date | 2020-09-30 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207V00000X | Obstetrics & Gynecology | 2020032940 | MO | Allopathic & Osteopathic Physicians |
| N | 207V00000X | Obstetrics & Gynecology | 94-09007 | KS | Allopathic & Osteopathic Physicians |
| Street Address |
2790 CLAY EDWARDS DR STE 530 |
| City | NORTH KANSAS CITY |
| State | MO |
| Zip Code | 64116-3266 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110189 | Brian Thomas Lovitt | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116-3266 | 2013-05-09 |
| 1013574433 | Jacklyn Chanell Griffin | Nurse Practitioner | 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116-3266 | 2019-05-21 |
| 1124432844 | Bridget Alison Crowley | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116 | 2014-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326503830 | Ladeja Holland | Student in an Organized Health Care Education/Training Program | 4421 N Oak Trfy, Kansas City, MO 64116 | 2019-02-08 |
| 1982179388 | Casady's Counseling | Counselor | 1201 Nw Briarcliff Pkwy Ste 200 Office233, Kansas City, MO 64116 | 2018-10-11 |
| 1427543818 | Amanda E Foster | Physical Therapist | 3810 N Mulberry Drive 202, Kansas City, MO 64116 | 2018-06-27 |
| 1992290555 | Lucas J Mathes | Physician Assistant | 2790 Clay Edwards Drive, Suite 650, North Kansas City, MO 64116 | 2018-06-26 |
| 1952828816 | Danielle Marie Rush | Physical Therapist | 1501 Nw 38th St., Apt. 305, Kansas City, MO 64116 | 2017-08-23 |
| 1992229629 | Ankita Bhakta | Physical Therapy Assistant | 4407 N Mulberry Dr, Kansas City, MO 64116 | 2017-08-03 |
| 1720430945 | Deon Hicks | Physical Therapist | 851 Nw 45th Street, Suite 209, Kansas City, MO 64116 | 2016-07-12 |
| 1851712228 | Cindy Eldridge | Counselor | 1201 Nw Briarcliff Pkwy Ste 200, Kansas City, MO 64116 | 2014-01-02 |
| 1841629904 | Jamie Lyn Jackson | Specialist/Technologist | 2790 Clay Edwards Dr. Ste #650, North Kansas City, MO 64116 | 2013-11-08 |
| 1487099388 | Lisa M Grasing | Family Medicine | 4150 N. Mulberry Dr, Suite 160, Kansas City, MO 64116 | 2013-05-06 |
| Find all providers in zip 64116 | ||||
| Taxonomy Code | 207V00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| An obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definiton added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Obstetrics and Gynecology, 2007. http://www.abog.org/. American Osteopathic Board of Obstetrics and Gynecology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Obstetrics and Gynecology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Obstetrics and Gynecology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699110189 | Brian Thomas Lovitt | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116-3266 | 2013-05-09 |
| 1154641207 | Raschelle Leanne Schowengerdt | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 1200, North Kansas City, MO 64116-3253 | 2010-06-10 |
| 1477728152 | Michelle S. Daniels | Obstetrics & Gynecology | 2790 Clay Edwards Drive, Suite 530, North Kansas City, MO 64116 | 2008-04-24 |
| 1225007479 | William K Seifert | Obstetrics & Gynecology | 2790 Clay Edwards Drive, Suite 530, North Kansas City, MO 64116-3276 | 2006-03-17 |
| 1124432844 | Bridget Alison Crowley | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 530, North Kansas City, MO 64116 | 2014-06-20 |
| 1609112937 | Meritas Health Corporation | Obstetrics & Gynecology | 2790 Clay Edwards Dr, Suite 1200, North Kansas City, MO 64116-3276 | 2012-12-13 |
| 1386999696 | Meritas Health Corporation | Obstetrics & Gynecology | 2790 Clay Edwards Dr, Suite 530, North Kansas City, MO 64116-3276 | 2012-07-24 |
| 1396065447 | Jennifer L Distasio | Obstetrics & Gynecology | 2790 Clay Edwards Dr Ste 1200, North Kansas City, MO 64116-3253 | 2010-06-10 |
| 1568605459 | Dawn C. Heizman | Obstetrics & Gynecology | 2790 Clay Edwards Drive, Suite 530, Meritas Health Pavilion for Women, North Kansas City, MO 64116-2792 | 2009-04-08 |
| 1659557874 | Stephanie R Elliott | Obstetrics & Gynecology | 2790 Clay Edwards Dr, Suite 1200, North Kansas City, MO 64116-3276 | 2008-01-17 |
| Find all providers in NORTH KANSAS CITY | ||||
| City | NORTH KANSAS CITY |
| Zip Code | 64116 |
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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.