Organization Active NPI

Stanley Herschberg D.O.P.S.

  • Medical Specialty Clinic/Center
  • Seattle, WA
National Provider Identifier
1780906263
Registry record updated Feb 24, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Specialty Clinic/CenterTaxonomy code 261QM2500X
License
40000692 Issued in WA
Legal business name
STANLEY HERSCHBERG D.O.P.S.
Practice address
10564 5TH Ave NE Ste 401
Seattle, WA 98125-7200
Phone
(206) 362-6300
Fax
(206) 362-6301
NPI assigned
Feb 24, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 24, 2010

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

Authorized official

Name
Dr. Stanley Herschberg, D.O.
Title
President
Phone
(206) 362-6300

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Specialty Clinic/Center 261QM2500X 40000692 WA Primary

Addresses

Primary practice location

10564 5TH Ave NE Ste 401
Seattle, WA 98125-7200

Mailing address

10564 5TH Ave NE Ste 401
Seattle, WA 98125-7200
Phone (206) 362-6300

Other identifiers 1

IdentifierTypeStateIssuer
1366905MedicaidWA

National Provider Directory

National Provider Directory

Locations

10564 5th Ave NE
Ste 401
Seattle, WA 98125
Phone (206) 362-6300

NPI Registry JSON

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

{
    "created_epoch": "1266969600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1266969600000",
    "number": "1780906263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-362-6300",
            "fax_number": "206-362-6301"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10564 5TH AVE NE STE 401",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981257200",
            "telephone_number": "206-362-6300",
            "fax_number": "206-362-6301"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLEY HERSCHBERG D.O.P.S.",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-02-24",
        "last_updated": "2010-02-24",
        "status": "A",
        "authorized_official_last_name": "HERSCHBERG",
        "authorized_official_first_name": "STANLEY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "206-362-6300",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.O."
    },
    "taxonomies": [
        {
            "code": "261QM2500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Medical Specialty",
            "state": "WA",
            "license": "40000692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1366905",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 24, 2010; 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.