Active NPI
Chaye Hertzel, MD
- Family Medicine Physician
- Sumter, SC
National Provider Identifier
1053532309
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35009
- Practice address
- 129 N Washington St
Sumter, SC 29150 - Phone
- (803) 774-9680
- NPI assigned
- May 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35009 | SC | Primary |
| Hospitalist Physician | 208M00000X | 35009 | SC |
Addresses
Primary practice location
129 N Washington St
Sumter, SC 29150
Mailing address
PO Box 743904
Atlanta, GA 30374-3904
Phone (803) 296-7320
Other practice location 1
710 DeWitt Dr
Lugoff, SC 29078-9069
Phone (803) 438-7566
Other practice location 2
710 DeWitt Dr
Lugoff, SC 29078-9069
Phone (803) 438-7566
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 350097 | Medicaid | SC |
Other names 1
- Chaye N.D. Hertzel
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35009 | SC | MD | Hospitalist Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178064000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1544054400000",
"number": "1053532309",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 743904",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303743904",
"telephone_number": "803-296-7320",
"fax_number": "803-296-7330"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "129 N WASHINGTON ST",
"city": "SUMTER",
"state": "SC",
"postal_code": "29150",
"telephone_number": "803-774-9680"
}
],
"practiceLocations": [
{
"address_1": "710 DeWitt Dr",
"address_purpose": "LOCATION",
"city": "Lugoff",
"state": "SC",
"postal_code": "290789069",
"country_code": "US",
"telephone_number": "803-438-7566",
"fax_number": "803-438-4371",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "710 DeWitt Dr",
"address_purpose": "LOCATION",
"city": "Lugoff",
"state": "SC",
"postal_code": "290789069",
"country_code": "US",
"telephone_number": "803-438-7566",
"fax_number": "803-438-4371",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERTZEL",
"first_name": "CHAYE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-02",
"last_updated": "2018-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "SC",
"license": "35009",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "SC",
"license": "35009",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "350097",
"state": "SC"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHAYE",
"last_name": "HERTZEL",
"middle_name": "N.D.",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}Other providers in Sumter, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.