Christopher F Herzog, D.O., PC

Primary specialty

Ophthalmology PhysicianTaxonomy code 207W00000X

License

5101009262 Issued in MI

Legal business name

CHRISTOPHER F HERZOG, D.O., PC

Practice address

9463 Holly Rd
Ste 101
Grand Blanc, MI 48439-2557

Phone

(810) 603-2020

Fax

(810) 603-2042

NPI assigned

Apr 9, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Janell Swanson

Title

Office Administrator

Phone

(810) 603-2020

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Evan Field, MD

  • Ophthalmology Physician
  • Fenton, MI
  • NPI 1083173447
  NPD (past)
• My Le Shaw, M.D.

  • Glaucoma Specialist (Ophthalmology) Physician
  • Fenton, MI
  • NPI 1467690131
  NPD (past)

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1230854400000",
    "number": "1568635720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9463 HOLLY RD",
            "address_2": "STE 101",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392557",
            "telephone_number": "810-603-2020",
            "fax_number": "810-603-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9463 HOLLY RD",
            "address_2": "STE 101",
            "city": "GRAND BLANC",
            "state": "MI",
            "postal_code": "484392557",
            "telephone_number": "810-603-2020",
            "fax_number": "810-603-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER F HERZOG, D.O., PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-09",
        "last_updated": "2009-01-02",
        "status": "A",
        "authorized_official_last_name": "SWANSON",
        "authorized_official_first_name": "JANELL",
        "authorized_official_title_or_position": "OFFICE ADMINISTRATOR",
        "authorized_official_telephone_number": "810-603-2020",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "207W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Ophthalmology",
            "state": "MI",
            "license": "5101009262",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2969290",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shivani Choudhary, MD
• Manik Chowdhry, MD
• Paul Chrenka, MD
• Alexander Phillip Christensen, DO
• Christopher D. Tykocki D.O. P.C.
• Jordan Christopher, DO
• Yong S Chung, M.D.
• Linda Chute, P.A.
• Joelle Ann Cirella-Grandy, OTR/L
• Shane T. Citron, D.D.S., M.D.

• Ophthalmology Physician in Grand Blanc, MI
• Providers in Grand Blanc, MI by specialty
• Ophthalmology Physician in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 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.