Active NPI
Alex M Herzberg, MD
- Orthopaedic Surgery Physician
- Vancouver, WA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 66572-20
- Practice address
- 2525 NE 139TH St
#140
Vancouver, WA 98686-2719 - Phone
- (360) 882-2778
- Fax
- (360) 604-1697
- NPI assigned
- Aug 2, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD21166 | OR | |
| Orthopaedic Surgery Physician | 207X00000X | 66572-20 | WI | Primary |
| Orthopaedic Surgery Physician | 207X00000X | MD60431541 | WA |
Addresses
Primary practice location
2525 NE 139TH St
#140
Vancouver, WA 98686-2719
Mailing address
PO Box 22487
Green Bay, WI 54305-2487
Phone (920) 445-7226
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 001920 | Medicaid | OR | |
| 276799 | Medicaid | OR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in WA, WI, MA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- University of Washington School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1151 Robeson St
Suite 101
Fall River, MA 02720-5566
Phone (508) 973-2211
1200 W Sims Way
Suite C
Port Townsend, WA 98368-3031
Phone (360) 385-6297
834 Sheridan St
Port Townsend, WA 98368-2443
Phone (360) 385-2200
Hospital & facility affiliations
- Southcoast Visiting Nurse Association Inc
- Jefferson Healthcare
- Southcoast Hospitals Group
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 66572-20 | WI | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Synergy Surgicalists LLC | Orthopaedic Surgery | Current | Accepting new patients |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center, Inc. | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Oconto Hospital & Medical Center Inc | Current | Accepting new patients | |
| Jefferson County Public Hospital District No 2 | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Orthopaedic Surgery | Current | Accepting new patients |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Bellin Memorial Hospital Inc | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Public Hospital Dist No 1 Skagit | Current | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients | |
| Mid-Columbia Medical Center | Past | Accepting new patients |
Locations
1151 Robeson St
Ste 101
Fall River, MA 02720
300A Faunce Corner Rd
North Dartmouth, MA 02747
Phone (508) 973-2213
1400 E Kincaid St
Mount Vernon, WA 98274
Phone (360) 428-2586
89 Breaker Ln
Port Ludlow, WA 98365
Phone (360) 437-5067
834 Sheridan St
Port Townsend, WA 98368
Phone (360) 344-0400
1200 W Sims Way
Ste C
Port Townsend, WA 98368
Phone (360) 385-6297
744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025
2820 Roosevelt Rd
Marinette, WI 54143
Phone (715) 330-6171
820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100
Interoperability endpoints
- aherzberg64534@direct.southcoast.org
- aherzberg176077@direct.thedacare.org
- aherzberg1045698@direct.emplifyhealth.org
Organizations & group practices 15
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.
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Orthopaedic Surgery Physician
- North Dartmouth, MA
- NPI 1114334422
-
- General Practice Physician
- Mount Vernon, WA
- NPI 1023332749
-
- Rural Health Clinic/Center
- Algoma, WI
- NPI 1609838473
-
- Critical Access Hospital
- Oconto, WI
- NPI 1356373302
-
- Ambulatory Surgical Clinic/Center
- Marinette, WI
- NPI 1881129351
-
- Urology Physician
- Port Townsend, WA
- NPI 1174917033
-
- Anesthesiology Physician
- Arlington, WA
- NPI 1265791065
-
- Physical Therapist
- Mount Vernon, WA
- NPI 1811460652
-
- Family Medicine Physician
- Green Bay, WI
- NPI 1033172390
Orthopaedic Surgery
-
- Family Medicine Physician
- Marinette, WI
- NPI 1881726529
-
- Rural Health Clinic/Center
- Suring, WI
- NPI 1104418037
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Medicare Defined Swing Bed Hospital Unit
- Port Townsend, WA
- NPI 1104950039
-
- Critical Access Hospital
- Port Townsend, WA
- NPI 1356492953
-
- Sleep Medicine (Psychiatry & Neurology) Physician
- Silverdale, WA
- NPI 1467664631
Hospital
-
- General Acute Care Hospital
- Wareham, MA
- NPI 1922024835
-
- Home Health Agency
- Fairhaven, MA
- NPI 1104937697
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1154476800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585872000000",
"number": "1629085519",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 22487",
"city": "GREEN BAY",
"state": "WI",
"postal_code": "543052487",
"telephone_number": "920-445-7226",
"fax_number": "920-445-7238"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 NE 139TH ST",
"address_2": "#140",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986862719",
"telephone_number": "360-882-2778",
"fax_number": "360-604-1697"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZBERG",
"first_name": "ALEX",
"middle_name": "M",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-02",
"last_updated": "2020-04-03",
"certification_date": "2020-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD21166",
"primary": false
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WI",
"license": "66572-20",
"primary": true
},
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "WA",
"license": "MD60431541",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "001920",
"state": "OR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "276799",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vancouver, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2020; 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.