Individual provider Active NPI

Christian Rene Herard, MD

  • Cardiovascular Disease Physician
  • Warwick, RI
National Provider Identifier
1013059476
Registry record updated Mar 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
MD04846 Issued in RI
Practice address
300 Tollgate Road
Suite 302
Warwick, RI 02886-4448
Phone
(401) 738-4014
Fax
(401) 738-4090
NPI assigned
Feb 13, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 16, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Cardiovascular Disease Physician 207RC0000X MD04846 RI Primary

Addresses

Primary practice location

300 Tollgate Road
Suite 302
Warwick, RI 02886-4448

Mailing address

300 Tollgate Road
Suite 302
Warwick, RI 02886-4448
Phone (401) 738-4014

Other identifiers 4

IdentifierTypeStateIssuer
7600208OtherUNITED HEALTH CARE
001021OtherRIBLUE CHIP RI
7287OtherRIBLUE CROSS RI
9000728MedicaidRI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
MD04846RIMDCardiovascular Disease Physician

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1171324800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1426464000000",
    "number": "1013059476",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "300 TOLLGATE ROAD",
            "address_2": "SUITE 302",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864448",
            "telephone_number": "401-738-4014",
            "fax_number": "401-738-4090"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 TOLLGATE ROAD",
            "address_2": "SUITE 302",
            "city": "WARWICK",
            "state": "RI",
            "postal_code": "028864448",
            "telephone_number": "401-738-4014",
            "fax_number": "401-738-4090"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERARD",
        "first_name": "CHRISTIAN",
        "middle_name": "RENE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-13",
        "last_updated": "2015-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "RI",
            "license": "MD04846",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "7600208",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CHIP RI",
            "identifier": "001021",
            "state": "RI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS RI",
            "identifier": "7287",
            "state": "RI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9000728",
            "state": "RI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Warwick, RI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.