William R Herzog Jr., MD

Primary specialty

Interventional Cardiology PhysicianTaxonomy code 207RI0011X

License

D41959 Issued in MD

Practice address

10710 Charter Dr
Suite 400
Columbia, MD 21044-2858

Phone

(410) 997-7979

Fax

(410) 997-9231

NPI assigned

Mar 8, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Cardiovascular Disease (Cardiology)

Education

Duke University School of Medicine, 1982

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Southeastern Regional Physician ServicesGroup PAC ID 7012058548, 34 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Merit-based Incentive Payment System (MIPS)

Final score

95.78 of 100Reported as group

Quality

81.28

Promoting interoperability

100

Improvement activities

40

Cost

80.81

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: wherzog491109@direct.unc.nchie.net

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

• Southeastern Regional Physician Services

  • Multi-Specialty Clinic/Center
  • Lumberton, NC
  • NPI 1427282045
  Medicare reassignment Care Compare group NPD
• Southeastern Regional Physician Services

  • Clinic/Center
  • Lumberton, NC
  • NPI 1043680630
  NPD
• Southeastern Regional Physician Services

  • Multi-Specialty Clinic/Center
  • Lumberton, NC
  • NPI 1265165518
  NPD
• Frederick Health Hospital Inc

  • General Acute Care Hospital
  • Frederick, MD
  • NPI 1538165527
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Southeastern Regional Medical Center

  • General Acute Care Hospital
  • Lumberton, NC
  • NPI 1427030774
  Care Compare affiliation

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

{
    "created_epoch": "1141776000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486684800000",
    "number": "1902873979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-997-7979",
            "fax_number": "410-997-9231"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10710 CHARTER DR",
            "address_2": "SUITE 400",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442858",
            "telephone_number": "410-997-7979",
            "fax_number": "410-997-9231"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERZOG",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-08",
        "last_updated": "2017-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0011X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Interventional Cardiology",
            "state": "MD",
            "license": "D41959",
            "primary": true
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "MD",
            "license": "D41959",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00963606",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "0061936",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "523202-06",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST GHMSI AND BLUE CHOICE",
            "identifier": "V879-0001",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "543951500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Monica Concepcion Hernandez
• Nancy Veronica Hernandez
• Phillip Lee Herndon, BCBA
• Jada Herring
• Saida Hersi
• Gabriel Hess
• Lauren Hess
• Robert Matthew Hess, M.S.,A.T.C.,S.T.S.
• Mariann Hessing, R.N.
• Meghan Rose Hesterberg, LCADC, LCPC

• Interventional Cardiology Physician in Columbia, MD
• Providers in Columbia, MD by specialty
• Interventional Cardiology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.