Jean Kirsten Hertz, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

MD115920 Issued in MO

Practice address

209 Rand St
Washington, MO 63090-1815

Phone

(636) 390-2149

Fax

(636) 390-9369

NPI assigned

Apr 3, 2009

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Dr. Jean Kirsten Rawson Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1238716800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1238716800000",
    "number": "1073755153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 RAND ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630901815",
            "telephone_number": "636-390-2149",
            "fax_number": "636-390-9369"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 RAND ST",
            "city": "WASHINGTON",
            "state": "MO",
            "postal_code": "630901815",
            "telephone_number": "636-390-2149",
            "fax_number": "636-390-9369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZ",
        "first_name": "JEAN",
        "middle_name": "KIRSTEN",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-04-03",
        "last_updated": "2009-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MO",
            "license": "MD115920",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEAN",
            "last_name": "RAWSON",
            "middle_name": "KIRSTEN",
            "prefix": "DR.",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Dana L Hellebusch, RN, MSN, CDE, FNP-BC
• Emily A Helton, DPT
• Ronak Dana Hendry, M.D.
• Branna Jo-Chapman Hensley, APRN
• Sara K Herbert, FNP-BC
• Patricia Lynne Hewkin, LPC
• Kelsie Brooke Hinkl, DMD
• Ann Marie Hoch, FNP-C
• Joshua Hoeft, ATC
• Daniel Paul Hoehne, D.O.

• Family Medicine Physician in Washington, MO
• Providers in Washington, MO by specialty
• Family Medicine Physician in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.