GODOFREDO M HERZOG MD
NPI 1811913445
General Practice in Sarasota, FL

Active since July 15, 2006PECOS Enrolled
5640 MARQUESAS CIR, SARASOTA, FL 34233(941) 921-5741(941) 927-5746 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Godofredo M Herzog Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GODOFREDO M HERZOG MD (NPI 1811913445) is an individual general practice provider in Sarasota, Florida, licensed in Florida (ME21751) and active in the NPI registry since July 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1811913445
Entity TypeIndividualMale
Primary Taxonomy208D00000X
Provider Legal NameGODOFREDO M HERZOGCredential: MD
Location Address5640 MARQUESAS CIRSarasota, FL 34233-3331
Mailing Address5640 Marquesas CirSarasota, FL 34233-3331 · (941) 921-5741 · Fax (941) 927-5746
Fax(941) 927-5746
Sole ProprietorNo
Enumeration DateJuly 15, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1811913445 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyGeneral PracticeAllopathic & Osteopathic Physicians
Taxonomy Code208D00000X
License Licensed in FL · ME21751
Definition
A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions. Source: National Uniform Claim Committee
5640 MARQUESAS CIR, Sarasota, FL 34233

Other Identifiers 3

Medicare UPINA24292FL
Medicare ID-Type Unspecified11001AFL
Other11001FL · Blue Coss Blue Shield

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare (PECOS)

Godofredo M Herzog Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Medicine & Rehabilitation (Neuromuscular Medicine)
5640 MARQUESAS CIR
SARASOTA, FL 34233
Chiropractor
5640 MARQUESAS CIR
SARASOTA, FL 34233
Chiropractor
5640 MARQUESAS CIR
SARASOTA, FL 34233
Neuromusculoskeletal Medicine, Sports Medicine
5640 MARQUESAS CIR
SARASOTA, FL 34233

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Godofredo Herzog's NPI number?

The NPI number for Godofredo Herzog is 1811913445. It was assigned to this individual provider in the NPPES registry on July 15, 2006.

Where is Godofredo Herzog located?

Godofredo Herzog practices at 5640 Marquesas Cir, Sarasota, FL 34233. The listed phone number is (941) 921-5741.

What is Godofredo Herzog's specialty?

The primary specialty registered for this NPI is General Practice with taxonomy code 208D00000X.

Is Godofredo Herzog enrolled in Medicare?

Yes. Godofredo Herzog is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Godofredo Herzog was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.