Sidney Herszenson, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

18537 Issued in WI

Practice address

2600 N Mayfair Rd
Suite 810
Milwaukee, WI 53226-1309

Phone

(414) 771-1122

Fax

(414) 771-1352

NPI assigned

Feb 14, 2006

Last updated

Feb 17, 2014By the provider in NPPES

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Dermatology Services, SC

  • Dermatology Physician
  • Wauwatosa, WI
  • NPI 1295783496
  NPD Authorized official

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

{
    "created_epoch": "1139875200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1392595200000",
    "number": "1841264074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 YORK ST",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542204630",
            "telephone_number": "866-630-9882",
            "fax_number": "920-683-2131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 N MAYFAIR RD",
            "address_2": "SUITE 810",
            "city": "MILWAUKEE",
            "state": "WI",
            "postal_code": "532261309",
            "telephone_number": "414-771-1122",
            "fax_number": "414-771-1352"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERSZENSON",
        "first_name": "SIDNEY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-14",
        "last_updated": "2014-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WI",
            "license": "18537",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Herslof's, Inc (Herslof Opticians)
• Herslof's, Inc (Herslof Family Eye Centers)
• Herslof's, Inc (Herslof Opticians)
• Kathryn J Herson, M.D.
• Herstory
• India Hertel
• Brandon Hertrampf, DPT
• Melanie Kay Hertzog, OTR
• Eric M Herz
• Lisa Marie Herzberg, RD

• Dermatology Physician in Milwaukee, WI
• Providers in Milwaukee, WI by specialty
• Dermatology Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 17, 2014; 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.