David Wayne Hertzberg, REIKI MASTER & TCM

Primary specialty

Independent Duty Medical TechniciansTaxonomy code 1710I1003X

Practice address

3617 W El Camino Dr
Phoenix, AZ 85051-9119

Phone

(480) 290-6071

NPI assigned

Mar 30, 2021

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

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.

• Strat-O-Sphere International

  • Independent Duty Medical Technicians
  • Phoenix, AZ
  • NPI 1699353870
  NPD Authorized official

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

{
    "created_epoch": "1617062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1649858820",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3617 W EL CAMINO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519119",
            "telephone_number": "480-290-6071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3617 W EL CAMINO DR",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850519119",
            "telephone_number": "480-290-6071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTZBERG",
        "first_name": "DAVID",
        "middle_name": "WAYNE",
        "credential": "REIKI MASTER & TCM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-03-30",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1710I1003X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider, Independent Duty Medical Technicians",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.AltMed-Rev.com",
            "affiliation": "N",
            "endpointDescription": "website",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "Marketing",
            "address_1": "3617 W El Camino Dr",
            "city": "Phoenix",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "850519119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jessica L Hershel
• Wendy Carol Hershey, PC-C
• Anna Hershkowitz, DNP
• Michael Joseph Hertelendy, PTA
• Gregory Hertig
• Michael Jerome Hervey II, M.D.
• David Herzberg, PT
• James Herzog, C.S.A.
• Marcie Herzog, LPC
• Tammy K Herzog, P.T.

• Independent Duty Medical Technicians in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Independent Duty Medical Technicians in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.