MEDICARE: JUDY E HERBOLSHEIMER PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant
2	207V00000X	Obstetrics & Gynecology Physician	5601004037	MI

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1861480600
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JUDY E HERBOLSHEIMER PA-C

Provider Business Mailing Address
First Line	:	PO BOX 779
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48764-0779
Country	:	US
Telephone Number	:	989-362-2540
Fax Number	:	989-362-9925

Provider Business Practice Location Address
First Line	:	25 M 55 E
Second Line	:
City	:	TAWAS CITY
State	:	MI
Zip	:	48763-9362
Country	:	US
Telephone Number	:	989-362-8691
Fax Number	:	989-362-7290

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	04/06/2021

Similar Medicare Providers

1679561468 — MYMICHIGAN MEDICAL CENTER TAWAS
Practice Location Address:

25 M 55 E
TAWAS CITY, MI
48763-9362

Practice Phone: 989-362-2540
Practice Fax: 989-362-7290

1235219965 — MYMICHIGAN MEDICAL CENTER TAWAS
Practice Location Address:

25 E M 55
TAWAS CITY, MI
48763-9362

Practice Phone: 989-362-2540
Practice Fax: 989-362-7290

1174603716 — DR. CHRISTOPHER RUSSELL LANDREY DO
Practice Location Address:

25 E M 55
TAWAS CITY, MI
48763-9362

Practice Phone: 989-362-2540
Practice Fax: 989-362-7290

1316082050 — CHRISTOPHER J ORAVITZ M.D.
Practice Location Address:

25 E M 55
TAWAS CITY, MI
48763-9362

Practice Phone: 989-362-2540
Practice Fax: 989-362-7290

1104929488 — SARA MARIE RIKER DPT
Practice Location Address:

1110 HAMMOND RD E , SUITE 5
TRAVERSE CITY, MI
49686-9362

Practice Phone: 231-995-5210
Practice Fax: 231-995-5213

1699950808 — DEREK WALTER MIGAZZI
Practice Location Address:

1110 HAMMOND RD E , STE 5
TRAVERSE CITY, MI
49686-9362

Practice Phone: 231-995-5210
Practice Fax:

Directions to “ JUDY E HERBOLSHEIMER PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.