| NPI | 1093734949 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2006-07-19 |
| Last Updated | 2020-08-21 |
| Mailing Address | Po Box 5368 Greenville, MS 38704-5368 United States Phone: (662) 394-0107 | Fax: (662) 335-7184 📍 View Map |
| Primary Practice Address | 1421 E Union St Greenville, MS 38703-3247 United States Phone: (662) 335-0183 | Fax: (662) 335-7184 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | MS | 00123017 | — |
| Other (non-Medicare) | MS | 060000624 | medicare |
| MEDICAID | AR | 126236001 | — |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207RC0000X – Internal Medicine, Cardiovascular Disease | MS | 09800 |
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About NPI 1093734949
John L Herzog MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1093734949. The primary specialty listed is Internal Medicine, Cardiovascular Disease. The provider is located in Greenville, MS. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2006-07-19. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1093734949?
NPI 1093734949 belongs to John L Herzog MD, a Internal Medicine, Cardiovascular Disease in Greenville, MS. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1093734949 active?
The current status of NPI 1093734949 in the NPPES registry is Active. The record was last updated on 2020-08-21.
What specialty is NPI 1093734949?
NPI 1093734949 is classified under the taxonomy Internal Medicine, Cardiovascular Disease. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1093734949?
You can verify NPI 1093734949 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1093734949?
The primary practice address on file for NPI 1093734949 is 1421 E Union St, Greenville, MS 38703-3247. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1093734949 issued?
NPI 1093734949 was first issued (enumerated) on 2006-07-19. The NPPES record was last updated on 2020-08-21.
Practice Location Map
John L Herzog is located at 1421 E Union St, Greenville, MS. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as John L Herzog. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1093734949. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine, Cardiovascular Disease | 09800 | MS |