DR. NANCY L HERTA M.D. NPI 1578519823

NPI Information

NPI: 1578519823
Provider Name: DR. NANCY L HERTA, M.D.
Classification: Obstetrics & Gynecology - 207V00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
212 S SULLIVAN AVE
FREMONT, MI
ZIP 49412
Phone: (231) 924-3300
Get Directions

DR. Nancy L Herta, M.D. is an obstetrics gynecology in Fremont, MI with 32 years of experience. The provider is an obstetrician/gynecologist possesses special knowledge, skills and professional capability in the medical and surgical care of the female reproductive system and associated disorders. This physician serves as a consultant to other physicians and as a primary physician for women. DR. Nancy L Herta, M.D. NPI is 1578519823. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

Education
Medical School: UNIVERSITY OF ROCHESTER SCHOOL OF MEDICINE AND DENTISTRY
Graduation Year:1992

The provider's business location address is:

212 S SULLIVAN AVE
FREMONT, MI
ZIP 49412-548
Phone: (231) 924-3300

The NPI 1578519823 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 11/20/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	207V00000X	Obstetrics & Gynecology		4301068990	MICHIGAN	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1021345	OTHER	MICHIGAN	MCLAREN HEALTH ADVANTAGE
2	1021345	OTHER	MICHIGAN	MCLAREN HEALTH PLAN-COMMERCIAL
3	200000002109	OTHER	MICHIGAN	PHP
4	1021345	OTHER	MICHIGAN	MCLAREN HEALTH PLAN-MEDICAID
5	1603303722	OTHER	MICHIGAN	BCBS/BCN
6	0M21440038	OTHER	MICHIGAN	MEDICARE PLUS BLUE
7	200000002109	OTHER	MICHIGAN	PHP FAMILYCARE
8	1578519823	MEDICAID	MICHIGAN
9	5305216	OTHER	MICHIGAN	AETNA
10	0330372	MEDICAID	MICHIGAN

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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