Maura Hertzog in Daytona Beach - Physician Assistant
Maura Hertzog - NPI 1427116235
Maura Hertzog is a Physician Assistant in Daytona Beach, Florida. Maura Hertzog practices all healthcare services and medical treatments related to Physician Assistant. The NPI Number for Maura Hertzog is 1427116235. The last update date is 2016-12-30.
Maura Hertzog's current location address is 1671 N Clyde Morris Blvd, Daytona Beach, Florida. You can contact this provider via phone number 3862742977 and fax number 3862742997. The mailing address for Maura Hertzog is 1671 N Clyde Morris Blvd, Daytona Beach, Florida. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maura Hertzog |
|---|---|
| Address | 1671 N Clyde Morris Blvd, Daytona Beach, Florida |
| Phone Number | 3862742977 |
| Fax Number | 3862742997 |
| Sole Proprietor | N |
| Credentials | PA |
NPI Number Detail
| NPI Number | 1427116235 |
|---|---|
| Provider Enumeration Date | 2006-12-05 |
| Last Updated Date | 2016-12-30 |
Provider Mailing Address Detail
| Address | 1671 N Clyde Morris Blvd |
|---|---|
| City | Daytona Beach |
| State | Florida (FL) |
| Post Code | 321175590 |
| Phone Number | 3862742977 |
| Fax Number | 3862742997 |
Provider's Primary Taxonomy Detail
| Speciality | Physician Assistant |
|---|---|
| Taxonomy | 363A00000X |
| Licence No | PA2015 |
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Definition: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perfor |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| P00450773 | FL | MEDICARE RAIL ROAD | |
| PA2015 | FL | LICENSE |
Post Comment/ Review Below
What is the unique identification code assigned to Maura Hertzog by the Centers for Medicare & Medicaid Services?
The Maura Hertzog has been issued the NPI (National Provider Identifier) 1427116235. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Maura Hertzog?
The Maura Hertzog is situated at 1671 N Clyde Morris Blvd, in the city of Daytona Beach, state of FL, with the zip code 321175590.
What is Maura Hertzog's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Maura Hertzog is Physician Assistant, and the taxonomy classification code that categorizes this area of expertise is 363A00000X.
On what date did Maura Hertzog receive its 1427116235 assignment from the Centers for Medicare & Medicaid Services?
The Maura Hertzog was assigned its 1427116235 on 2006-12-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Maura Hertzog, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Maura Hertzog, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2016-12-30.