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SHANNON HERZOG CCP
NPI 1881945962
Perfusionist in Mesa, AZ

Active since September 28, 2012
1830 S ALMA SCHOOL RD, SUITE 108, MESA, AZ 85210(480) 248-3000(480) 248-3050 Get Directions Write a Review

NPPES record last updated: September 28, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Shannon Herzog Ccp NPPES

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

SHANNON HERZOG CCP (NPI 1881945962) is an individual perfusionist provider in Mesa, Arizona and active in the NPI registry since September 2012.

NPPES Registry Identity

NPI1881945962
Entity TypeIndividualFemale
Primary Taxonomy242T00000X
Provider Legal NameSHANNON HERZOGCredential: CCP
Location Address1830 S ALMA SCHOOL RD, SUITE 108Mesa, AZ 85210-3056
Mailing Address1830 S Alma School Rd, Suite 108Mesa, AZ 85210-3056 · (480) 248-3000 · Fax (480) 248-3050
Phone(480) 248-3000
Fax(480) 248-3050
Sole ProprietorNo
Enumeration DateSeptember 28, 2012
✔ NPI 1881945962 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPerfusionistTechnologists, Technicians & Other Technical Service Providers
Taxonomy Code242T00000X
Definition
A perfusionist operates extracorporeal circulation and autotransfusion equipment during any medical situation where it is necessary to support or temporarily replace the patient's circulatory or respiratory function. The perfusionist is knowledgeable concerning the variety of equipment available to perform extracorporeal circulation functions and is responsible, in consultation with the physician, for selecting the appropriate equipment and techniques to be used.
1830 S ALMA SCHOOL RD, Mesa, AZ 85210
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Other Providers at the Same Location NPPES 20

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

JUNE SIEGEL MSW CISW PC
Clinic/Center (Adult Mental Health)
1830 S ALMA SCHOOL RD, SUITE 135
MESA, AZ 85210
Maricopa County (480) 491-4840
MAXIM CHIROPRACTIC THREE
Chiropractor
1830 S ALMA SCHOOL RD
MESA, AZ 85210
Maricopa County (480) 222-5170
MRS. TRACY KERR CARSON LAC
Counselor (Professional)
1830 S ALMA SCHOOL RD, SUITE 112
MESA, AZ 85210
Maricopa County (480) 730-6222
KUO-YI CHUNG PH.D.
Psychologist
1830 S ALMA SCHOOL RD
MESA, AZ 85210
Maricopa County (480) 730-6222
NATURAL HEALTH CHIROPRACTIC PLLC
Chiropractor
1830 S ALMA SCHOOL RD, SUITE 135
MESA, AZ 85210
Maricopa County (480) 222-2129
KIMBERLY VON DER AHE
Speech-Language Pathologist
1830 S ALMA SCHOOL RD, 130
MESA, AZ 85210
Maricopa County (480) 902-0771
DR. MYSORE S SURESH D.D.S
Dentist (General Practice)
1830 S ALMA SCHOOL RD, #136
MESA, AZ 85210
Maricopa County (480) 491-0404
JASON FORD LAC
Counselor
1830 S ALMA SCHOOL RD
MESA, AZ 85210
Maricopa County (480) 730-6222

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 Shannon Herzog's NPI number?

The NPI number for Shannon Herzog is 1881945962. It was assigned to this individual provider in the NPPES registry on September 28, 2012.

Where is Shannon Herzog located?

Shannon Herzog practices at 1830 S Alma School Rd Suite 108, Mesa, AZ 85210. The listed phone number is (480) 248-3000.

What is Shannon Herzog's specialty?

The primary specialty registered for this NPI is Perfusionist with taxonomy code 242T00000X.

When was this NPI record last updated?

The NPPES record for Shannon Herzog was last updated on September 28, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.