Elena Herschdorfer, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS15077 Issued in FL

Practice address

1050 Loveland Blvd
Port Charlotte, FL 33980-1813

Phone

(941) 833-6531

Fax

(941) 764-0259

NPI assigned

Oct 30, 2017

Last updated

Jun 1, 2026By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Dr. Elena Herschdorfer Rodriguez Former name

Medicare fee-for-service enrollment

Enrolled in FL

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Millennium Physician Group LLC

  • Family Medicine Physician
  • Fort Myers, FL
  • NPI 1811122880
  Medicare reassignment NPD
• Paxton Medical Management

  dba Family Doctors of North Port

  • Family Medicine Physician
  • North Port, FL
  • NPI 1457950420
  Medicare reassignment NPD
• Synergy Hospital Services LLC

  • Hospitalist Physician
  • Punta Gorda, FL
  • NPI 1508610460
  Medicare reassignment NPD
• Millennium Physician Group LLC

  • Family Medicine Physician
  • Brooksville, FL
  • NPI 1073131702
  NPD
• Paxton Medical Management

  dba Sun City Senior Care

  • Family Medicine Physician
  • Sun City Center, FL
  • NPI 1588400691
  NPD
• Continuitycare Rehab Corp

  • Hospitalist Physician
  • Port Charlotte, FL
  • NPI 1841164787
  NPD (past)

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

{
    "created_epoch": "1509321600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1780272000000",
    "number": "1548772650",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 494205",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339494205"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 LOVELAND BLVD",
            "city": "PORT CHARLOTTE",
            "state": "FL",
            "postal_code": "339801813",
            "telephone_number": "941-833-6531",
            "fax_number": "941-764-0259"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSCHDORFER",
        "first_name": "ELENA",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-10-30",
        "last_updated": "2026-06-01",
        "certification_date": "2026-06-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "U04643",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS15077",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ELENA",
            "last_name": "RODRIGUEZ",
            "middle_name": "HERSCHDORFER",
            "prefix": "DR.",
            "credential": "DO",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Norys Hernandez, PHARM D.
• Rosalia Hernandez
• Torry Heroux
• Kristie Herr, LMHC
• Vanessa M Herrmann, M.S. CCC-SLP
• Herston Dental Services, PL
• Melody Lynn Herston, D.M.D.
• Julia Herzog, MS CCC-SLP
• William Andrew Heymann, MD, MPH
• Linda J Hickox, RDH

• Family Medicine Physician in Port Charlotte, FL
• Providers in Port Charlotte, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2026; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.