Dr. Jacek M. Herchold , MD
Pediatrics • Phoenix, AZ
Notice of NPI Deactivation & Inactive Practice Status
According to official public domain records published by CMS (Centers for Medicare & Medicaid Services) in the National Provider Identifier (NPPES) Registry, Dr. Jacek Herchold has officially deactivated this NPI record and ceased active healthcare practice.
Professional Overview & Biography Verified Profile Summary
Dr. Jacek Herchold, MD was a registered Pediatrics practicing in Phoenix, AZ. Throughout an active medical career spanning 18 years, Dr. Herchold provided care at the practice location at 2030 W WHISPERING WIND DR until profile deactivation on 2023-12-20.
Practice Location & Contact Primary Location
2030 W Whispering Wind Dr
Phoenix, AZ 850852853
Specialty Benchmarks & Practice Insights
Comparative analytics for Pediatrics in Phoenix, AZ
Practicing in Phoenix, AZ (1353 Statewide)
In-Person Office Visits Only
Under CMS Medicare Fee Schedule vs Standard Submitted Charges
Medical Specialties & State Licenses
NUCC Taxonomy Code: 208000000X
A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Practice Associates & Co-Workers
Healthcare professionals and specialists practicing at this location or sharing practice phone/fax
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Physician Assistant
Physician Assistant
Pediatrics
Doctor of Medicine (M.D.)
Pediatrics
Doctor of Medicine (M.D.)
Nurse Practitioner
Nurse Practitioner
Career & Practice History Timeline
Chronological log of verified NPI updates, location relocations, credentials, and registry changes
Record deactivated on December 20, 2023
NPI status registered as active in NPPES database
Registered at 2030 W WHISPERING WIND DR, PHOENIX, AZ 850852853 (Tel: 6028660550)
Registered at 15650 N BLACK CANYON HWY, SUITE 100, PHOENIX, AZ 850534064 (Tel: 6028660550)
Recorded as JACEK HERCHOLD, MD
Pediatrics (License #17909 in AZ)
First registered as active Individual Practitioner in NPPES Database.
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NPI Administrative Meta
Mailing Address
15650 N Black Canyon Hwy, Suite 100
Phoenix, AZ 850534064
Phone: 6028660550
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