Active NPI
James P Herberg, MD
- Family Medicine Physician
- Mill Hall, PA
National Provider Identifier
1871506394
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD005834E
- Practice address
- 7133 Nittany Valley Dr
Mill Hall, PA 17751-9013 - Phone
- (570) 726-7992
- Fax
- (570) 726-6554
- NPI assigned
- Aug 14, 2006
- Last updated
- May 8, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | MD005834E | PA | |
| Family Medicine Physician | 207Q00000X | MD005834E | PA | Primary |
Addresses
Primary practice location
7133 Nittany Valley Dr
Mill Hall, PA 17751-9013
Mailing address
2475 Upper Brush Valley Road
Centre Hall, PA 16828-9207
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 680034 | Other | BLUE SHIELD | |
| 1009475640002 | Medicaid | PA |
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
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD005834E | PA | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Exigence Pennsylvania LLC | Past | Accepting new patients | |
| Tiadaghton Emergency Physicians | Emergency Medicine | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Emergency Medical Services (Emergency Medicine) Physician
- Lock Haven, PA
- NPI 1346366168
-
- Emergency Medicine Physician
- Lock Haven, PA
- NPI 1407886328
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210204800000",
"number": "1871506394",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2475 UPPER BRUSH VALLEY ROAD",
"city": "CENTRE HALL",
"state": "PA",
"postal_code": "168289207"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7133 NITTANY VALLEY DR",
"city": "MILL HALL",
"state": "PA",
"postal_code": "177519013",
"telephone_number": "570-726-7992",
"fax_number": "570-726-6554"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERBERG",
"first_name": "JAMES",
"middle_name": "P",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-08-14",
"last_updated": "2008-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "PA",
"license": "MD005834E",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD005834E",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE SHIELD",
"identifier": "680034",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1009475640002",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Mill Hall, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.