Active NPI
Lawrence J Herberholz, MD
- Surgery Physician
- Scottsboro, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 23961
- Practice address
- 911 S Broad St
Scottsboro, AL 35768-2509 - Phone
- (256) 259-0185
- Fax
- (256) 259-0317
- NPI assigned
- Jul 26, 2005
- Last updated
- Feb 6, 2013
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 23961 | AL | Primary |
Addresses
Primary practice location
911 S Broad St
Scottsboro, AL 35768-2509
Mailing address
911 S Broad St
Scottsboro, AL 35768-2509
Phone (256) 259-0185
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 009990335 | Medicaid | AL | |
| 529923150 | Medicaid | AL | |
| 51524140 | Other | BLUE CROSS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Wayne State University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
380 Woods Cove Rd
Scottsboro, AL 35768-2428
Phone (256) 218-3405
408 Taylor St
Scottsboro, AL 35768-2424
Phone (256) 259-5211
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 116 |
| Hernia repair - groin (open) | 1-10 |
| Hernia repair (minimally invasive) | 1-10 |
| Mastectomy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 108 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 1-10 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 23961 | AL | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Highlands Surgical Services LLC | Surgery | Current | Accepting new patients |
| Highlands Professional Services | Surgery | Current | Accepting new patients |
| Scottsboro OB GYN Specialists LLC | Current | Accepting new patients | |
| Charles B. Lovelady, M.D., L.L.C. | Surgery | Past | Accepting new patients |
| Jackson County Healthcare Authority | Past | Accepting new patients | |
| Gurinder Doad MD PHD | Past | Accepting new patients |
Locations
380 Woods Cove Rd
Scottsboro, AL 35768
Phone (256) 218-3579
380 Woods Cove Rd
Ste B
Scottsboro, AL 35768
Phone (256) 259-0185
408 Taylor St
Scottsboro, AL 35768
Phone (256) 259-5211
509 Burlington St
Scottsboro, AL 35768
Phone (256) 259-4817
911 S Broad St
Scottsboro, AL 35768
Phone (256) 259-0185
Interoperability endpoints
- lawrence.herberholz.1@29332.direct.athenahealth.com
Organizations & group practices 6
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.
-
dba Harmony Healthcare
- Specialist
- Scottsboro, AL
- NPI 1750041786
Surgery
-
- Surgery Physician
- Scottsboro, AL
- NPI 1639514250
-
- Obstetrics & Gynecology Physician
- Scottsboro, AL
- NPI 1972658300
-
- Surgery Physician
- Scottsboro, AL
- NPI 1174829089
-
- Family Medicine Physician
- Section, AL
- NPI 1902092877
-
dba Highlands Home Health
- Home Health Agency
- Scottsboro, AL
- NPI 1306941604
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Highlands Medical Center
- General Acute Care Hospital
- Scottsboro, AL
- NPI 1699444976
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1122336000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1360108800000",
"number": "1619977378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "911 S BROAD ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682509",
"telephone_number": "256-259-0185",
"fax_number": "256-259-0317"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "911 S BROAD ST",
"city": "SCOTTSBORO",
"state": "AL",
"postal_code": "357682509",
"telephone_number": "256-259-0185",
"fax_number": "256-259-0317"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERHOLZ",
"first_name": "LAWRENCE",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-07-26",
"last_updated": "2013-02-06",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "AL",
"license": "23961",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "009990335",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529923150",
"state": "AL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "51524140",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Scottsboro, AL
- Health Quest, L.L.C. (Health Quest Medical Wellness Center)
- Healthpointe
- Healthpointe, LLC
- Heartlite Hospice, Inc.
- Corey Hebert
- HH Health System - Jackson LLC (Highlands Primary Care)
- HH Health System - Jackson LLC (Highlands Home Health)
- HH Health System - Jackson LLC (Highlands Family Medicine LLC)
- HH Health System - Jackson LLC (Highlands Medical Center)
- HH Health System - Jackson LLC (Highlands Health and Rehab)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 6, 2013; 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.