Type 1 · Individual ✓ Active NPI ✓ Valid NPI checksum

Hazen Timothy Herzog, PHYSICIAN ASSISTANT

Surgical Physician Assistant in Coos Bay, OR · enumerated 2009.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1932433190

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Registry record

Entity type Individual (Type 1)

Name Hazen Timothy Herzog

Credential PHYSICIAN ASSISTANT

Sex Male

Practice address 1900 Woodland Dr, Coos Bay, OR, 97420

Phone (541) 267-5151

Fax (541) 266-4501

Enumeration date Sep 21, 2009

Last updated in NPPES Nov 8, 2013

Taxonomy & licenses

363A00000X Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License 7462373-1206 (UT) Secondary

363AS0400X Surgical Physician Assistant Physician Assistants & Advanced Practice Nursing Providers · License PA152638 (OR) Primary

Other identifiers

Identifier	Type	State	Issuer
161133	Other	OR	GROUP MEDICAID NORTH BEND MEDICAL CENTER
500625533	Medicaid	OR	-
74623731206	Other	UT	LICENSE
P01220506	Other	OR	RAILROAD MEDICARE
R000WFBTV	Other	OR	GROUP MEDICARE NORTH BEND MEDICAL CENTER
1407812365	Other	OR	GROUP NPI NORTH BEND MEDICAL CENTER
93-0635514	Other	OR	GROUP TAX FOR BILLING NORTH BEND MEDICAL CENTER
PA152638	Other	OR	MEDICAL LICENSE

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How do I verify Hazen Herzog's NPI record?

Cross-check NPI 1932433190 against the official CMS registry at npiregistry.cms.hhs.gov. This page mirrors the same public NPPES data with a monthly snapshot.

Is NPI 1932433190 active?

Yes, as of the latest NPPES snapshot, NPI 1932433190 is active (record last updated 2013-11-08).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2013-11-08.