Active NPI
Jonathan Mark Herzner, MS, ATC
- Athletic Trainer
- Tucson, AZ
National Provider Identifier
1689867731
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- 0231
- Practice address
- 421 N Arcadia Ave
Tucson, AZ 85711-3032 - Phone
- (520) 349-1335
- Fax
- (520) 232-5601
- NPI assigned
- Aug 22, 2007
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | 0231 | AZ | Primary |
Addresses
Primary practice location
421 N Arcadia Ave
Tucson, AZ 85711-3032
Mailing address
421 N Arcadia Ave
Tucson, AZ 85711-3032
Phone (520) 349-1335
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0231 | AZ | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1187740800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1187740800000",
"number": "1689867731",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "421 N ARCADIA AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113032",
"telephone_number": "520-349-1335",
"fax_number": "520-232-5601"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "421 N ARCADIA AVE",
"city": "TUCSON",
"state": "AZ",
"postal_code": "857113032",
"telephone_number": "520-349-1335",
"fax_number": "520-232-5601"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERZNER",
"first_name": "JONATHAN",
"middle_name": "MARK",
"credential": "MS, ATC",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-08-22",
"last_updated": "2007-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "AZ",
"license": "0231",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tucson, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.