Individual provider Active NPI

Jessica Leigh Herzog, DPM

  • Foot & Ankle Surgery Podiatrist
  • Castle Rock, CO
National Provider Identifier
1609044585
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
73308 Issued in CO
Practice address
2352 Meadows Blvd Ste 270
Castle Rock, CO 80109
Phone
(303) 814-1082
Fax
(303) 814-0020
NPI assigned
Feb 13, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 73308 CO Primary

Addresses

Primary practice location

2352 Meadows Blvd Ste 270
Castle Rock, CO 80109

Mailing address

PO Box 639
Castle Rock, CO 80104-0639
Phone (303) 814-1082

Other practice location 1

8671 S Quebec St Ste 230
Highlands Ranch, CO 80130-5861
Phone (303) 814-1082

Other identifiers 1

IdentifierTypeStateIssuer
18080073MedicaidCO

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CO
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100622000911 CO Practitioner - Podiatry 4284765082 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Castle Rock Foot and Ankle Care PCGroup PAC ID 4587849872, 3 clinicians

Practice addresses (Care Compare)

2352 Meadows Blvd
Suite 270
Castle Rock, CO 80109-8412
Phone (303) 814-1082

Hospital & facility affiliations

  • Adventhealth Castle Rock Hospital, Castle Rock, CO, CCN 060125

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of nail tissue65

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
73308COMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Rock Foot & Ankle Care PC Foot & Ankle Surgery CurrentSince Mar 11, 2011 Accepting new patients
Jeannie M. Orourke, DPM PC Past Accepting new patients
Castle Rock Surgicenter, LLC Past Accepting new patients

Locations

755 S Perry St
Ste 500
Castle Rock, CO 80104
Phone (303) 663-2235

2352 Meadows Blvd
Ste 270
Castle Rock, CO 80109
Phone (303) 814-1082

8671 S Quebec St
Ste 230
Highlands Ranch, CO 80130
Phone (303) 662-0545

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668038400000",
    "number": "1609044585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 639",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "801040639",
            "telephone_number": "303-814-1082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2352 MEADOWS BLVD STE 270",
            "city": "CASTLE ROCK",
            "state": "CO",
            "postal_code": "80109",
            "telephone_number": "303-814-1082",
            "fax_number": "303-814-0020"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8671 S Quebec St Ste 230",
            "address_purpose": "LOCATION",
            "city": "Highlands Ranch",
            "state": "CO",
            "postal_code": "801305861",
            "country_code": "US",
            "telephone_number": "303-814-1082",
            "fax_number": "303-814-0020",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "JESSICA",
        "middle_name": "LEIGH",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-02-13",
        "last_updated": "2022-11-10",
        "certification_date": "2022-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "CO",
            "license": "73308",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "18080073",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Castle Rock, CO

Sources for this page

Verify at the official NPI Registry.