MICHAEL HERCEG (NPI# 1649492554) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649492554 |
| Entity Type | Individual |
| Full Name | MICHAEL HERCEG |
| Credential | DO |
| Practice Address |
33 Mitchell Ave Suite 207 Binghamton NY 13903-1674 |
| Mailing Address |
22 Pine Meadow Rd Vestal NY 13850-3042 |
| Practice Telephone | 6077237586 |
| Practice Fax Number | 6077231989 |
| Mailing Telephone | 6072175372 |
| Mailing Fax Number | 6077231989 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2016-06-29 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207W00000X | Ophthalmology | 247466-1 | NY | Allopathic & Osteopathic Physicians |
| N | 207W00000X | Ophthalmology | OS014046 | PA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NY | MEDICAID GROUP ID | 02061489 | 01 |
| NY | 02992038 | 05 | |
| NY | MEDICARE GROUP PROVIDER | AA0477 | 01 |
| Street Address |
33 MITCHELL AVE SUITE 207 |
| City | BINGHAMTON |
| State | NY |
| Zip Code | 13903-1674 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679574123 | Lawrence Wiesner | Orthopaedic Surgery | 33 Mitchell Ave, Suite G50, Binghamton, NY 13903-1674 | 2005-08-09 |
| 1396367447 | Khandokar Abu Talib | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2020-05-12 |
| 1821619461 | Farid Khan | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2020-05-06 |
| 1265051544 | Krishna M Putcha | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2020-04-16 |
| 1215566252 | Laurene Tuider | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2020-04-02 |
| 1336701630 | Sadia Hussaini | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2019-07-08 |
| 1497317077 | Wajeeh Rehman | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2019-07-03 |
| 1023678158 | Maie Abdullah | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2019-06-20 |
| 1194381038 | Alyssa Raghu | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2019-05-16 |
| 1326603861 | Vamsi Priya Aravally | Student in an Organized Health Care Education/Training Program | 33 Mitchell Ave, Binghamton, NY 13903-1642 | 2019-05-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982241121 | Diane Irene Davie | Specialist | 37 1/2 Hayes St, Binghamton, NY 13903 | 2019-12-06 |
| 1801440375 | Jonathan James Pelc | Pharmacist | 50 Pennsylvania Avenue, Binghamton, NY 13903 | 2019-08-01 |
| 1265815211 | Miriam Mikaya | Nurse Practitioner | 10-42 Mitchel Avenue, Binghamton, NY 13903 | 2015-07-08 |
| 1538541925 | Marianne Valenzuela | Nurse Practitioner | 27 Park Avenue, 5th Floor, Binghamton, NY 13903 | 2015-06-23 |
| 1962884379 | Norman Dale Powell Sr. | Nurse's Aide | 43 Webster St., Apt. 2, Binghamton, NY 13903 | 2015-06-22 |
| 1659612562 | Helena Maureen Ladue | Counselor | 10 Mitchell Avenue, New Horizons, Binghamton, NY 13903 | 2013-03-04 |
| 1144597527 | Allan M. Fernandez | Family Medicine | 35 Felters Road, Building 8, Binghamton, NY 13903 | 2011-11-29 |
| 1386875482 | Earle John Reome | Pharmacist | 10-34 Mitchell Avenue, Binghamton, NY 13903 | 2009-08-06 |
| 1619113149 | Teresa Mae Grant | Massage Therapist | 20 Mitchell Avenue, Binghamton, NY 13903 | 2009-01-06 |
| 1932383791 | Diane Lucille Brenner | Licensed Practical Nurse | 60 Saratoga Ave, 5 20, Binghamton, NY 13903 | 2007-12-28 |
| Find all providers in zip 13903 | ||||
| Taxonomy Code | 207W00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Ophthalmology |
| An ophthalmologist has the knowledge and professional skills needed to provide comprehensive eye and vision care. Ophthalmologists are medically trained to diagnose, monitor and medically or surgically treat all ocular and visual disorders. This includes problems affecting the eye and its component structures, the eyelids, the orbit and the visual pathways. In so doing, an ophthalmologist prescribes vision services, including glasses and contact lenses. |
| 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 Ophthalmology, 2007. http://www.abop.org/. American Osteopathic Board of Ophthalmology and Otolaryngology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Ophthalmology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Ophthalmology and Otolaryngology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124012075 | Lloyd Eugene Suter | Ophthalmology | 1159 Vestal Ave, Binghamton, NY 13903-1606 | 2005-09-07 |
| 1487631420 | John Francis Meehan | Ophthalmology | 33 Mitchell Ave, Ste 207, Binghamton, NY 13903-1674 | 2005-12-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821607995 | Reginald Camillo Md Pllc | Ophthalmology | 7708 Broadway, Elmhurst, NY 11373-1927 | 2020-07-24 |
| 1366069510 | Rebecca Stein | Ophthalmology | 711 Stewart Ave Ste 160, Garden City, NY 11530-4700 | 2020-07-02 |
| 1548886260 | Bartow Ophthalmology Pllc | Ophthalmology | 2100 Bartow Ave Ste 208, Bronx, NY 10475-4614 | 2020-06-18 |
| 1407485139 | Amy L Kreisberg | Ophthalmology | 25 Byron Ln, Larchmont, NY 10538-1617 | 2020-04-04 |
| 1922634518 | Vision Vibrant Medicine Pllc | Ophthalmology | 837 59th St, Brooklyn, NY 11220-3611 | 2020-03-16 |
| 1710546270 | Ian Chan Md PC | Ophthalmology | 6410 8th Ave # 2a, Brooklyn, NY 11220-4720 | 2019-06-09 |
| 1598320038 | Mid-hudson Family Ophthalmology, Pllc | Ophthalmology | 75 Crystal Run Rd Ste 104a, Middletown, NY 10941-7003 | 2019-05-09 |
| 1144885070 | Nan Alison Sutter Hayworth | Ophthalmology | 214 Mclain St, Mount Kisco, NY 10549-4931 | 2019-05-06 |
| 1104383660 | Shani Golan | Ophthalmology | 325 E 64th St, New York, NY 10065-6709 | 2019-02-20 |
| 1205391224 | Gautam Kamthan Md PC | Ophthalmology | 250 E 39th St Apt 11g, New York, NY 10016-2178 | 2019-02-04 |
| Find all providers with the same taxonomy | ||||
| City | BINGHAMTON |
| Zip Code | 13903 |
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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.