Ronald D Hertz (NPI# 1053304816, PAC ID# 9638239288) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is INTERNAL MEDICINE.
| Nation Provider ID (NPI) | 1053304816 |
| PAC ID by PECOS | 9638239288 |
| Professional Enrollment ID | I20081128000104 |
| Full Name | Ronald D Hertz |
| Organization Legal Name | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Address |
21000 E 12 Mile Rd 105 St John Eastside Urgent Care St Clair Shores MI 48081-1156 |
| Phone Number | 5864983606 |
| Gender | M |
| Medical School | NEW YORK MEDICAL COLLEGE |
| Graduation Year | 1989 |
| Primary Specialty | INTERNAL MEDICINE |
| Secondary Specialties | PEDIATRIC MEDICINE |
| Group Practice PAC ID | 2567689540 |
| Number of Group Practice Members | 41 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 230165 | ST JOHN HOSPITAL AND MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 22101 Moross Rd, Detroit, MI 48236-2148 | ASCENSION ST JOHN HOSPITAL | |
| 22201 Moross Rd, Detroit, MI 48236-2166 | ASCENSION ST JOHN HOSPITAL | |
| 22101 Moross Rd, Grosse Pointe, MI 48236-2148 | 3133434000 | ASCENSION ST JOHN HOSPITAL |
| 19251 Mack Ave, Suite 333, Grosse Pointe Woods, MI 48236-2898 | 3133437280 | ASCENSION ST JOHN HOSPITAL |
| 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 | 5864983606 | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Measure Identifier | Measure Title | Performance Rate | Reporting Mechanism |
|---|---|---|---|
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| ACI_EC_TRANS_PPHI_1 | Security Risk Analysis | % | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 98% | |
| MIPS_EC_134_overall | Preventive Care and Screening: Screening for Clinical Depression and Follow-Up Plan | 98% |
| Organization Legal Name | SETON HEALTH CORPORATION OF SOUTHEASTERN MICHIGAN |
| Physicians | 41 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Caitlyn M Witek | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Tonya M Nelson-williams | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Jessica L Heaney | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 17900 23 Mile Rd, Suite 101, Macomb, MI 48044-1161 |
| Alyssa D Baker | Physician Assistant | Seton Health Corporation of Southeastern Michigan | 46591 Romeo Plank Rd, Suite 133, Macomb, MI 48044-5705 |
| Andrea L Dalman | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Lisa Renee Scott | Clinical Social Worker | Seton Health Corporation of Southeastern Michigan | 22255 Greenfield Rd, Suite 550, Southfield, MI 48075-3710 |
| Brita J Pietila | Physician Assistant | Seton Health Corporation of Southeastern Michigan | 1225 S Latson Rd, 130 Seton Livingston Urgent Care, Howell, MI 48843-7576 |
| Antonia M Jerkins | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Renee S Hoelzeman | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Street Address |
21000 E 12 MILE RD 105 ST JOHN EASTSIDE URGENT CARE |
| City | ST CLAIR SHORES |
| State | MI |
| Zip | 48081-1156 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Douglas C Kubek | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Wafa Barkho | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Brigitte M Ngoyi | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| John Woo Lee | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Neil Thomas Shaw | Podiatry | Anthony V Benenati Dpm PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1116 |
| Regina R Frost | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Jennifer Kay Appleyard | Internal Medicine | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Antonia M Jerkins | Family Medicine | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Renee S Hoelzeman | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Joyce C Purakal | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Paul Xavier Burgoyne | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| Anthony Gerald Paniccia | Family Medicine | Ascension St John Hospital | 19901 E 10 Mile Rd, Harper Family Practice, St Clair Shores, MI 48081-1069 |
| James R Hrynik | Certified Registered Nurse Anesthetist (crna) | Ascension St John Hospital | 21000 E 12 Mile Rd, St Clair Shores, MI 48081-1116 |
| William A Ventimiglia | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Suite 100, Saint Clair Shores, MI 48081-1156 |
| Eric W Sargent | Otolaryngology | Ascension St John Hospital | 21000 E 12 Mile Rd, Suite 111, Saint Clair Shores, MI 48081-1156 |
| Majed A Rammouni | Internal Medicine | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, 105 St John Eastside, St Clair Shores, MI 48081-1156 |
| Thomas R Hartzell | Obstetrics/gynecology | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, Suite 102, Saint Clair Shores, MI 48081-1156 |
| Heidi L Rohloff | Nurse Practitioner | Seton Health Corporation of Southeastern Michigan | 21000 E 12 Mile Rd, 105 St John Eastside Urgent Care, St Clair Shores, MI 48081-1156 |
| Sean Anthony Cassleman | Internal Medicine | Ascension Medical Group Michigan | 21000 E 12 Mile Rd, 105 Lakeside Internal Medicine, St Clair Shores, MI 48081-1156 |
| Andrew M Staricco | Pulmonary Disease | Pulmonary and Critical Care Associates PC | 21000 E 12 Mile Rd, Saint Clair Shores, MI 48081-1156 |
| Find all physicians in zip 48081 | |||
| City | ST CLAIR SHORES |
| Zip Code | 48081 |
| Specialty | INTERNAL MEDICINE |
| City + Specialty | ST CLAIR SHORES + INTERNAL MEDICINE |
Please comment or provide details below to improve the information on Ronald D Hertz.
| 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.