DR. CHARLES SCHAEFFER HERTZ M.D. NPI 1609828326

NPI Information

NPI: 1609828326
Provider Name: DR. CHARLES SCHAEFFER HERTZ, M.D.
Classification: Internal Medicine - 207RG0100X
Entity Type: Individual

Specialization: Gastroenterology

PECOS Registration: Yes

Address:
1691 GALISTEO ST
SUITE C
SANTA FE, NM
ZIP 87505
Phone: (505) 983-5631
Get Directions

DR. Charles Schaeffer Hertz, M.D. is a gastroenterology internal medicine in Santa Fe, NM. The provider is an internist who specializes in diagnosis and treatment of diseases of the digestive organs including the stomach, bowels, liver and gallbladder. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using endoscopes to visualize internal organs. DR. Charles Schaeffer Hertz, M.D. NPI is 1609828326. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1691 GALISTEO ST
SUITE C
SANTA FE, NM
ZIP 87505-780
Phone: (505) 983-5631
Fax: (505) 982-5605

The NPI 1609828326 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Power Mobility Devices.

The enumeration date for this NPI number is 5/17/2006 and was last updated on 7/27/2011.

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	207RG0100X	Internal Medicine	Gastroenterology	13380	TENNESSEE	No
2	207RG0100X	Internal Medicine	Gastroenterology	MD2011-0092	NEW MEXICO	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	4748210	OTHER	TENNESSEE	CIGNA HEALTHCARE
2	53765	OTHER	TENNESSEE	BCBS PROVIDER NUMBER
3	100006289	OTHER	TENNESSEE	RAILROAD MEDICARE
4	8160	OTHER	TENNESSEE	TLC PROVIDER NUMBER
5	3187049	MEDICAID	TENNESSEE
6	4466329	OTHER	TENNESSEE	AETNA PROVIDER NUMBER
7	D32169	MEDICARE UPIN	TENNESSEE
8	3187041	MEDICARE ID-TYPE UNSPECIFIED	TENNESSEE	MEDICARE PROVIDER NUMBER

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: 4/28/2024

NPI Synchronization or Removal

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