Frederick J. Hering
Physician Assistant in Crescent City, CA. Individual provider (NPI-1).
NPI number1215040977
StatusActive
Last updated in NPPESOct 4, 2023
Details
- NPI
- 1215040977
- Entity type
- Individual (NPI-1)
- Name
- Frederick J. Hering
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Aug 16, 2006
- Certification date
- Oct 4, 2023
- Last updated
- Oct 4, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | PA15264 | CA | Yes |
Other names
- Fred J. Hering (Professional Name)
Practice location
800 E Washington BlvdCrescent City, CA 95531-8359
Phone 469-247-1977 · Fax 530-224-2731
Mailing address
800 E Washington BlvdCrescent City, CA 95531-8359
Phone 469-247-1977
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 13 Physician Assistant providers in Crescent City · All 579 providers in Crescent City
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