Deborah J Herzog in Roeland Park - Pediatrics
Deborah J Herzog - NPI 1164428751
Deborah J Herzog is a Pediatrics in Roeland Park, Kansas. Deborah J Herzog practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Deborah J Herzog is 1164428751. The last update date is 2022-12-30.
Deborah J Herzog's current location address is 3811 W 52nd St, Roeland Park, Kansas. You can contact this provider via phone number 9135798556. The mailing address for Deborah J Herzog is 3811 W 52nd St, Roeland Park, Kansas. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Deborah J Herzog |
|---|---|
| Address | 3811 W 52nd St, Roeland Park, Kansas |
| Phone Number | 9135798556 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | OTR/L |
NPI Number Detail
| NPI Number | 1164428751 |
|---|---|
| Provider Enumeration Date | 2005-06-28 |
| Last Updated Date | 2022-12-30 |
Provider Mailing Address Detail
| Address | 3811 W 52nd St |
|---|---|
| City | Roeland Park |
| State | Kansas (KS) |
| Post Code | 662051458 |
| Phone Number | 9135798556 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 225Xp0200X |
| Licence No | 17-00917 |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 201858547 | MO | GREAT-WEST HC PROVIDER # | |
| 34948018 | MO | BCBS KANSAS CITY # |
Post Comment/ Review Below
What is the Deborah J Herzog's 1164428751?
The Deborah J Herzog's NPI (National Provider Identifier) Number is 1164428751. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Deborah J Herzog is physically located?
The Deborah J Herzog is situated at the following address: 3811 W 52Nd St, Roeland Park, KS 662051458.
What is Deborah J Herzog's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Deborah J Herzog is Pediatrics, and the taxonomy code that classifies this field of practice is 225Xp0200X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1164428751 to Deborah J Herzog?
The Centers for Medicare & Medicaid Services originally issued the 1164428751 to Deborah J Herzog on 2005-06-28.
As of what date were the Deborah J Herzog's details last updated?
The information pertaining to the Deborah J Herzog, including its address, specialty, and other details, was most recently updated on 2022-12-30.