Individual provider Active NPI

William Steven Herz, M.D.

  • Psychiatry Physician
  • Madras, OR
National Provider Identifier
1215008354
Registry record updated Feb 7, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
11812 Issued in OR
Practice address
125 SW C St
Madras, OR 97741-1458
Phone
(541) 475-6575
Fax
(541) 475-6196
NPI assigned
Nov 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 7, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 11812 OR Primary

Addresses

Primary practice location

125 SW C St
Madras, OR 97741-1458

Mailing address

PO Box 718
Bend, OR 97709-0718
Phone (541) 388-9836

Other identifiers 1

IdentifierTypeStateIssuer
267724MedicaidOR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Lutheran Community Services Northwest Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328572800000",
    "number": "1215008354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 718",
            "city": "BEND",
            "state": "OR",
            "postal_code": "977090718",
            "telephone_number": "541-388-9836",
            "fax_number": "541-475-6196"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 SW C ST",
            "city": "MADRAS",
            "state": "OR",
            "postal_code": "977411458",
            "telephone_number": "541-475-6575",
            "fax_number": "541-475-6196"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZ",
        "first_name": "WILLIAM",
        "middle_name": "STEVEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-11-12",
        "last_updated": "2012-02-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "OR",
            "license": "11812",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "267724",
            "state": "OR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Madras, OR

Sources for this page

Verify at the official NPI Registry.