Patrick T Hergenroeder MD Inc

Primary specialty

SpecialistTaxonomy code 174400000X

License

35.038239 Issued in OH

Legal business name

PATRICK T HERGENROEDER MD INC

Practice address

34 W Washington St
Chagrin Falls, OH 44022-3026

Phone

(440) 247-2644

Fax

(440) 247-0131

NPI assigned

Jan 31, 2007

Organization subpart

No

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

Authorized official

Name

Patrick T Hergenroeder, M.D.NPI 1811983729

Title

Owner

Phone

(440) 247-2644

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in OH

Enrollment records 1

Locations

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Patrick Thomas Hergenroeder, M.D.

  • Specialist
  • Chagrin Falls, OH
  • NPI 1811983729
  Medicare reassignment Care Compare group Authorized official
• Shawn Steven Segulin, LPT

  • Physical Therapist
  • Chagrin Falls, OH
  • NPI 1780945352
  Medicare reassignment Care Compare group
• Maaike Ann Jenkins, MPT

  • Orthopedic Physical Therapist
  • Geneva, OH
  • NPI 1902964273
  NPD (past)
• Christine Catherine Messner, PT

  • Orthopedic Physical Therapist
  • Beachwood, OH
  • NPI 1497787543
  NPD (past)
• Lori Heiser Robinson, PT

  • Orthopedic Physical Therapist
  • Beachwood, OH
  • NPI 1134169055
  NPD (past)
• Debbie Sue Sternen, MS PT

  • Orthopedic Physical Therapist
  • Beachwood, OH
  • NPI 1992746473
  NPD (past)
• Amy Elizabeth Duffy, PT, MS

  • Physical Therapist
  • Bethlehem, GA
  • NPI 1548385008
  NPD (past)
• Richard Scott Tremblay, PT, DPT

  • Physical Therapist
  • Richmond, VT
  • NPI 1487814679
  NPD (past)

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689711533",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "34 W WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223026",
            "telephone_number": "440-247-2644",
            "fax_number": "440-247-0131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "34 W WASHINGTON ST",
            "city": "CHAGRIN FALLS",
            "state": "OH",
            "postal_code": "440223026",
            "telephone_number": "440-247-2644",
            "fax_number": "440-247-0131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PATRICK T HERGENROEDER MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERGENROEDER",
        "authorized_official_first_name": "PATRICK",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "440-247-2644",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Specialist",
            "state": "OH",
            "license": "35.038239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Chagrin Falls, OH
• Providers in Chagrin Falls, OH by specialty
• Specialist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.