David E Hertzog, D.O.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

OS007499L Issued in PA

Practice address

4485 William Flynn Hwy
Suite 3
Allison Park, PA 15101-1424

Phone

(412) 492-0800

Fax

(412) 492-4057

NPI assigned

Jan 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Anesthesiology

Education

Philadelphia College of Osteopathic Medicine, 1990

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nextgen Anesthesia, LLCGroup PAC ID 6305357146, 15 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Warren General Hospital Hospital, Warren, PA, CCN 390146
• Warren General Hospital Hospital, Warren, PA, CCN 391319

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Nextgen Anesthesia LLC

  • Anesthesiology Physician
  • Warren, PA
  • NPI 1053100974
  Medicare reassignment Care Compare group NPD
• Capstone Anesthesia, LLC

  • Anesthesiology Physician
  • Youngstown, OH
  • NPI 1891210852
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Warren General Hospital

  • Substance Use Disorder Rehabilitation Hospital Unit
  • Warren, PA
  • NPI 1376497362
  Care Compare affiliation
• Warren General Hospital

  • Family Medicine Physician
  • Warren, PA
  • NPI 1508803701

  Hospital

  Care Compare affiliation
• Warren General Hospital

  • General Acute Care Hospital
  • Warren, PA
  • NPI 1659360220
  Care Compare affiliation

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

{
    "created_epoch": "1136764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1198195200000",
    "number": "1427036441",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4485 WILLIAM FLYNN HWY",
            "address_2": "SUITE 3",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011424",
            "telephone_number": "412-492-0800",
            "fax_number": "412-492-4057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4485 WILLIAM FLYNN HWY",
            "address_2": "SUITE 3",
            "city": "ALLISON PARK",
            "state": "PA",
            "postal_code": "151011424",
            "telephone_number": "412-492-0800",
            "fax_number": "412-492-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZOG",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-09",
        "last_updated": "2007-12-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "PA",
            "license": "OS007499L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0015985450004",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Holding Space Therapy Services LLC
• Siobhan D Horgan

• Anesthesiology Physician in Allison Park, PA
• Providers in Allison Park, PA by specialty
• Anesthesiology Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.