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

Mary A Herzog, MD

Individual provider Orthopaedic Surgery Physician · NPI 1750543674

Mary A Herzog, MD is an Orthopedic Surgery in Grand Rapids, Michigan. Qualified in 2008, 18 years ago. Practices with Enloe Medical Center, a 331-clinician group, accepts Medicare assignment and offers telehealth. Licensed in Michigan.

Years since qualifying
18
Licensed in
MI
In the registry since
2008
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

300 Lafayette Ave SE # 3400
Grand Rapids, MI 49503-4600
Phone: (616) 752-6615
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

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

Specialties & licences

Orthopaedic Surgery Physician (primary) Taxonomy 207X00000X · Licence 4301093037 (MI)

Record details

NPI number1750543674
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedJuly 1, 2008
Last updated in NPPESJuly 1, 2008

Medicare enrollment

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

Medicare specialtyORTHOPEDIC SURGERY
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Group practice Enloe Medical Center — 331 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Grand Rapids