Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Ethel Susan Herskovic, DO

Individual provider Diagnostic Radiology Physician · NPI 1104130269

Dr. Ethel Susan Herskovic, DO is a Diagnostic Radiology in Edina, Minnesota. Graduated from Chicago College of Osteopathy in 2007, 19 years ago. Practices with Geisinger Clinic, a 3,413-clinician group and accepts Medicare assignment. Licensed in Florida, Illinois and Pennsylvania.

Years since qualifying
19
Trained at
Chicago College of Osteopathy
Licensed in
FL, IL, PA
In the registry since
2010
Specialties on file
3
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

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Practice location Address checks out

3600 Minnesota Dr Ste 800
Edina, MN 55435-7915
Phone: (952) 595-1100
Fax: (612) 294-4903
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence OS18042 (FL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence 125053522 (IL)
Diagnostic Radiology Physician Taxonomy 2085R0202X · Licence OS021672 (PA)

Record details

NPI number1104130269
Entity typeIndividual (Type 1)
GenderFemale
Credentials DO
Sole proprietorNo
NPI enumeratedAugust 1, 2010
Last updated in NPPESJuly 1, 2026
Certification dateJuly 1, 2026
Mailing address3600 Minnesota Dr Ste 800, Edina, MN 55435-7915

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolCHICAGO COLLEGE OF OSTEOPATHY
Graduated 2007 (19 years in practice)
Group practice Geisinger Clinic — 3413 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

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