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Deactivated NPI 1780732008 Deactivated / Inactive NPI Male Practitioner

Dr. Philip Franklin Herzog , MD

Pediatrics • Redmond, WA

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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. Philip Herzog has officially deactivated this NPI record and ceased active healthcare practice.

Registration / Start Date January 05, 2007
NPI Deactivation Date September 27, 2024
Total Practice Duration ~17 Years of Practice (2007 – 2024)

Professional Overview & Biography Verified Profile Summary

Dr. Philip Herzog, MD was a registered Pediatrics practicing in Redmond, WA. Throughout an active medical career spanning 17 years, Dr. Herzog provided care at the practice location at 2701 156TH AVE NE until profile deactivation on 2024-09-27.

Practice Location & Contact Primary Location

Practice Address

2701 156th Ave Ne

Redmond, WA 980525513

Telephone 4258835020
Associated Practice Facility / Clinic

Specialty Benchmarks & Practice Insights

Comparative analytics for Pediatrics in Redmond, WA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 34.5 Yrs
State Avg: 18.8 Yrs
Regional Practice Density
40 Specialists

Practicing in Redmond, WA (1802 Statewide)

Telehealth Adoption Rate
2.5% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Pediatrics Primary Specialty

NUCC Taxonomy Code: 208000000X

State License WA MD00017328

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

22 Associated Practitioners
Dr. Kumiko Nomoto , MD

Family Medicine

NPI 1003969338

Doctor of Medicine (M.D.)

Dr. Franklin Carr , MD

Family Medicine

NPI 1013051978

Doctor of Medicine (M.D.)

Dr. Howard Krouse , MD

Allergy & Immunology - Allergy

NPI 1033261409

Doctor of Medicine (M.D.)

Dr. Smitha Gatta , MD

Family Medicine

NPI 1174658181

Doctor of Medicine (M.D.)

NPI 1235282849

Doctor of Medicine (M.D.)

Melanie Call

Pharmacist

NPI 1366582439

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

7 Historical Events
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NPI Profile Deactivated September 27, 2024

Record deactivated on September 27, 2024

NPI Profile Active July 16, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 16, 2007

Registered at 2701 156TH AVE NE, REDMOND, WA 980525513 (Tel: 4258835020)

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Updated Business Mailing Address July 16, 2007

Registered at PO BOX 34584, SEATTLE, WA 981241584 (Tel: 5092417349)

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Provider Name / Credentials Updated July 16, 2007

Recorded as PHILIP HERZOG, M.D.

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Medical Taxonomy / Specialty Registered (Primary Specialty) July 16, 2007

Pediatrics (License #MD00017328 in WA)

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Initial NPI Registration & Enumeration January 05, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1780732008
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 05, 2007
Last Update: July 16, 2007
Deactivation Date: September 27, 2024

Mailing Address

Po Box 34584

Seattle, WA 981241584

Phone: 5092417349

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

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