DR. LISA DIANE HERZIG


Address: 4800 Sand Point Way Ne, M/s Oc.9.840, Seattle, WA 98105-3901
Phone: 2069872210

DR. LISA DIANE HERZIG (NPI# 1790910701) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1790910701
Entity Type Individual
Full Name DR. LISA DIANE HERZIG
Credential MD
Practice Address 4800 Sand Point Way Ne
M/s Oc.9.840
Seattle
WA 98105-3901
Practice Telephone 2069872210
Practice Fax Number 2069873824
Mailing Telephone 2069872210
Mailing Fax Number 2069873824
Enumeration Date 2009-05-19
Last Update Date 2013-07-16
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 2080P0006X Pediatrics
Specialization: Developmental – Behavioral Pediatrics
MD60272117 WA Allopathic & Osteopathic Physicians
N 390200000X Student in an Organized Health Care Education/Training Program Student, Health Care

Other Providers LISA HERZIG

NPI Name Taxonomy Address Enumeration
1669939385 Lisa Herzig Dietitian, Registered 9898 N Millbrook Ave, Fresno, CA 93720-1313 2019-02-28

Office Location

Street Address 4800 SAND POINT WAY NE
M/S OC.9.840
City SEATTLE
State WA
Zip Code 98105-3901

Providers in the same location

NPI Name Taxonomy Address Enumeration
1891791448 Eric M Harvey Pharmacist 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2005-06-27
1326649930 Amy Ardaya Physician Assistant 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-11-02
1235739129 Christopher Baker Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-29
1134728777 Cara Elizabeth Hilderbrand Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-24
1376142810 Alexandra Michelle Barrie Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-24
1285233270 Joshua James Degrave Pharmacist 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-20
1811595705 Raven Khiara Hayes Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-13
1972101004 Rachel Elizabeth Gulden Physician Assistant 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-12
1821695446 Kelsey Alexandra Macdonald Nurse Practitioner 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-10-06
1275149676 Lauryn Manning Registered Nurse 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2020-09-21
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326662396 Dale Justin Podolsky Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Ob.9.520, Seattle Children's, Seattle, WA 98105 2020-06-04
1376170878 Andrew Crompton Yazman Pediatrics 4800 Sand Point Way, Ne Oc.7.830, Seattle, WA 98105 2020-03-25
1427688845 Daniela Michell Zepeda Behavioral Analyst 4616 25th Ave Ne Pmb 437, Seattle, WA 98105 2020-01-24
1255981189 Emily King Student in an Organized Health Care Education/Training Program Mark Hawkins, Pa-c, Mpas, 4311 11th Ave Ne Suite 200, WA 98105 2019-09-12
1821659327 Sara Katherine Horne Student in an Organized Health Care Education/Training Program 4800 Sand Point Way Ne, Mb.11.500, Department of Anesthesiology and Pain Medicine, Seattle, Seattle, WA 98105 2019-06-25
1881252575 Darryl Lee Wright Peer Specialist Gossett Place, 4719 12th Ave Ne, Seattle, WA 98105 2019-05-29
1487117891 Nirupama Madhavan Behavioral Analyst 5001 25th Ave Ne, Seattle, WA 98105 2019-04-11
1780155648 Eryn R Mcentee Naturopath 2216 Ne46th St, Seattle, WA 98105 2018-12-17
1356811921 Kyle Leland Bernbach Massage Therapist 5224 Ravenna Ave Ne, Seattle, WA 98105 2018-11-27
1548742380 Janal Kim Physician Assistant 4726 11th Ave Ne, Apt 511, Seattle, WA 98105 2018-08-29
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Taxonomy Information

Taxonomy Code 2080P0006X
Grouping Allopathic & Osteopathic Physicians
Classification Pediatrics
Specialization Developmental – Behavioral Pediatrics

Taxonomy Definition

A developmental-behavioral specialist is a pediatrician with special training and experience who aims to foster understanding and promotion of optimal development of children and families through research, education, clinical care and advocacy efforts. This physician assists in the prevention, diagnosis, and management of developmental difficulties and problematic behaviors in children and in the family dysfunctions that compromise children's development.
Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition changed, source changed, 3/26/2008: definition corrected] Additional Resources: American Board of Pediatrics, 2007. http://www.abp.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Pediatrics.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1568880276 Angela J Armen Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2014-03-31
1710135926 Emily Myers Pediatrics 4800 Sand Point Way Ne, Oc.9.840, Seattle, WA 98105-3901 2008-08-29
1093931339 Sterling K Clarren Pediatrics 2142 10th Ave W, Seattle Children's Home, Seattle, WA 98119-2845 2007-04-17
1538240890 Michael L Cunningham Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-17
1992886246 Samuel Zinner Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-17
1093896359 Anne M Leavitt Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-17
1962592857 Daniel Doherty Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-13
1285724179 Charles A Cowan Pediatrics 4800 Sand Point Way Ne, Seattle, WA 98105-3901 2006-10-13
1306956883 Gwen M Glew Pediatrics 1959 Ne Pacific St, C-212, Box 356340, Seattle, WA 98195-6340 2006-08-30
1710094131 Timothy J Brei Pediatrics 4800 Sand Point Way Ne, Oc.9.840, Seattle, WA 98105-3901 2006-08-23
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Competitor

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City SEATTLE
Zip Code 98105

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Dataset Information

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.

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