Jessica Lauren Mad Herzog in Lehi - General Practice
Jessica Lauren Mad Herzog - NPI 1912035221
Jessica Lauren Mad Herzog is a General Practice in Lehi, Utah. Jessica Lauren Mad Herzog practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jessica Lauren Mad Herzog is 1912035221. The last update date is 2022-02-18.
Jessica Lauren Mad Herzog's current location address is 3397 N 1200 E Ste 103, Lehi, Utah. You can contact this provider via phone number 8017970877 and fax number 8012908141. The mailing address for Jessica Lauren Mad Herzog is 3397 N 1200 E Ste 103, Lehi, Utah. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jessica Lauren Mad Herzog |
|---|---|
| Address | 3397 N 1200 E Ste 103, Lehi, Utah |
| Phone Number | 8017970877 |
| Fax Number | 8012908141 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1912035221 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2022-02-18 |
Provider Mailing Address Detail
| Address | 3397 N 1200 E Ste 103 |
|---|---|
| City | Lehi |
| State | Utah (UT) |
| Post Code | 840433262 |
| Phone Number | 8017970877 |
| Fax Number | 8012908141 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 208D00000X |
| Licence No | MD449593 |
|
Definition: A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 420536 | PA | UPMC | |
| 2983938 | PA | HIGHMARK BLUE SHIELD |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Jessica Lauren Mad Herzog by the Centers for Medicare & Medicaid Services?
The Jessica Lauren Mad Herzog has been issued the NPI (National Provider Identifier) 1912035221 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Jessica Lauren Mad Herzog's physical address?
The Jessica Lauren Mad Herzog is physically located at 3397 N 1200 E Ste 103, in the city of Lehi, UT, with the postal code 840433262.
What is Jessica Lauren Mad Herzog's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jessica Lauren Mad Herzog is General Practice, and the corresponding taxonomy classification code for this specialized field is 208D00000X.
On what date was the 1912035221 assigned to Jessica Lauren Mad Herzog?
The Jessica Lauren Mad Herzog was issued its 1912035221 on 2007-02-28, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Jessica Lauren Mad Herzog, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Jessica Lauren Mad Herzog, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2022-02-18.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC