Kevin M Herzog (NPI# 1124001029, PAC ID# 9436286424) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PATHOLOGY.
| Nation Provider ID (NPI) | 1124001029 |
| PAC ID by PECOS | 9436286424 |
| Professional Enrollment ID | I20100422001035 |
| Full Name | Kevin M Herzog |
| Organization Legal Name | PATHOLGY SERVICES OF KALAMAZOO PC |
| Address |
601 John St Kalamazoo MI 49007-5341 |
| Phone Number | 2693417654 |
| Gender | M |
| Medical School | UNIVERSITY OF CINCINNATI COLLEGE OF MEDICINE |
| Graduation Year | 1994 |
| Primary Specialty | PATHOLOGY |
| Group Practice PAC ID | 0143123034 |
| Number of Group Practice Members | 13 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230017 | BRONSON METHODIST HOSPITAL |
| 230075 | BRONSON BATTLE CREEK HOSPITAL |
| Address | Phone | Organization |
|---|---|---|
| 601 John St, Kalamazoo, MI 49007-5341 | 2693417654 | PATHOLGY SERVICES OF KALAMAZOO PC |
| Organization Legal Name | PATHOLGY SERVICES OF KALAMAZOO PC |
| Physicians | 14 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Christina Lynne Dean | Pathology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| William P Walker | Pathology | Patholgy Services of Kalamazoo PC | 1234 Napier Ave, Lakeland Medical Ctr St Joseph, Saint Joseph, MI 49085-2112 |
| Ellen Flatley | Pathology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Jeffrey L Hinson | Pathology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Karla K Dunning | Pathology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Jessica E Liggett | Dermatology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Christina R Yavarow | Pathology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Shannon Bieliauskas | Pathology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Jeffrey P Pearson | Pathology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Houssam Attal | Pathology | Patholgy Services of Kalamazoo PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Street Address |
601 JOHN ST |
| City | KALAMAZOO |
| State | MI |
| Zip | 49007-5341 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Amanda K Walker | Obstetrics/gynecology | Bronson Methodist Hospital | 601 John St, N1200, Kalamazoo, MI 49007-5318 |
| Timothy O Vanderkooy | Emergency Medicine | Southwestern Michigan Emergency Services, PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Veronica Rothney | Clinical Social Worker | Bronson Methodist Hospital | 601 John St, Suite M 170, Kalamazoo, MI 49007-5366 |
| Jeffrey C King | Hand Surgery | Bronson Methodist Hospital | 601 John St, Kalamazoo, MI 49007-5341 |
| Eric Shawn Shay | Internal Medicine | Bronson Methodist Hospital | 601 John St, Kalamazoo, MI 49007-5341 |
| Brendan Michael Banyon | Diagnostic Radiology | Advanced Radiology Services PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Danielle Kristin Ren Allman | Nurse Practitioner | Advanced Radiology Services PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Andrew Forsyth | Interventional Radiology | Advanced Radiology Services PC | 601 John St, Kalamazoo, MI 49007-5341 |
| Teagan Mccaslin Allison | Nurse Practitioner | Bronson Methodist Hospital | 601 John St, Suite M 124, Kalamazoo, MI 49007-5377 |
| Matthew E Kelly | Internal Medicine | Bronson Methodist Hospital | 601 John St, Kalamazoo, MI 49007-5341 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Susan E Jevert Eichorn | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Lauren Sloan Piper | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Joseph M Salvatore | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Angela Marie Henry-delapaz | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Peter J Ziemkowski | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Uyen Thai Budzinski | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Kristi L Vanderkolk | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Roxana Alcaraz | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Wesley R Eichorn | Family Medicine | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Elizabeth J Salvatore | Clinical Social Worker | Family Health Center, Inc. | 117 W Paterson St, Kalamazoo, MI 49007-2557 |
| Find all physicians in zip 49007 | |||
| City | KALAMAZOO |
| Zip Code | 49007 |
| Specialty | PATHOLOGY |
| City + Specialty | KALAMAZOO + PATHOLOGY |
Please comment or provide details below to improve the information on Kevin M Herzog.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.