Herr-Kostic Medical Group Inc.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

Legal business name

HERR-KOSTIC MEDICAL GROUP INC.

Practice address

41-120 Washington St
Suite 101
Bermuda Dunes, CA 92203

Phone

(760) 772-2823

Fax

(760) 772-2819

NPI assigned

Apr 26, 2007

Last updated

Apr 24, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Shelcie A Love

Title

Office Manager

Phone

(760) 772-2823

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Biljana Kostic, M.D.

  • Internal Medicine Physician
  • Bermuda Dunes, CA
  • NPI 1184703621
  Medicare reassignment Care Compare group
• Susan Marder, ANP-C

  • Adult Health Nurse Practitioner
  • Bermuda Dunes, CA
  • NPI 1033358528
  Medicare reassignment Care Compare group
• Stanley Samuel Herr, D.O

  • Internal Medicine Physician
  • Bermuda Dunes, CA
  • NPI 1841373743
  NPD

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1366761600000",
    "number": "1467672345",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41-120 WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "92203",
            "telephone_number": "760-772-2823",
            "fax_number": "760-772-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41-120 WASHINGTON ST",
            "address_2": "SUITE 101",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "92203",
            "telephone_number": "760-772-2823",
            "fax_number": "760-772-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERR-KOSTIC MEDICAL GROUP INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2013-04-24",
        "status": "A",
        "authorized_official_last_name": "LOVE",
        "authorized_official_first_name": "SHELCIE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "760-772-2823"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Tom Fulton, M.ED.;M.A.;A.T.C.
• Earl Lloyd Glass, PHARM D
• Jill Grako
• Salome R. Gutierrez, PH.D.
• Mohammad Julkernayen Haq
• Stanley Samuel Herr, D.O
• Neele Holzenkaempfer, DPT
• Home and Hearth Hub
• Diana Louise Honsa, PT
• Leslie Yareli Humphrey, DPT

• Internal Medicine Physician in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 24, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.