David Herndon, DO

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

OS11527 Issued in FL

Practice address

5500 Little Rd
New Port Richey, FL 34655

Phone

(727) 372-1005

Fax

(352) 807-7081

NPI assigned

Aug 27, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family Practice

Education

At Still University of Health Sciences, College of Osteo Med, Kirksville, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Access Health Care Physicians LLCGroup PAC ID 4385821156, 176 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Gulfside Hospice, Inc Hospice, Land O Lakes, FL, CCN 101532

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

Networks

• Optimum HealthCare HMO Network
• Freedom Health HMO Network

Interoperability endpoints

• Direct secure messaging: david.herndon.1@17797.direct.athenahealth.com
• FHIR API: https://fhir4.healow.com/fhir/r4/JICADA

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Access Health Care Physicians LLC

  • General Practice Physician
  • Spring Hill, FL
  • NPI 1245529742

  Family Medicine

  Medicare reassignment Care Compare group NPD
• Access Health Care LLC

  • Family Medicine Physician
  • Beverly Hills, FL
  • NPI 1043453020
  NPD (past)
• Largo Physician Group, LLC

  • Pediatrics Physician
  • Brooksville, FL
  • NPI 1578732889
  NPD (past)
• Unity Healthcare LLC

  • Internal Medicine Physician
  • Spring Hill, FL
  • NPI 1720324627
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Gulfside Hospice, Inc.

  • Community Based Hospice Care Agency
  • Land O Lakes, FL
  • NPI 1144328881
  Care Compare affiliation

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

{
    "created_epoch": "1282867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714003200000",
    "number": "1023324035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5400 PINEHURST DR",
            "city": "SPRING HILL",
            "state": "FL",
            "postal_code": "346063833",
            "telephone_number": "352-277-5348",
            "fax_number": "352-606-2857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5500 LITTLE RD",
            "city": "NEW PORT RICHEY",
            "state": "FL",
            "postal_code": "34655",
            "telephone_number": "727-372-1005",
            "fax_number": "352-807-7081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1264 S Pinellas Ave",
            "address_purpose": "LOCATION",
            "city": "Tarpon Springs",
            "state": "FL",
            "postal_code": "346893720",
            "country_code": "US",
            "telephone_number": "727-382-6280",
            "fax_number": "727-382-6282",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERNDON",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-08-27",
        "last_updated": "2024-04-25",
        "certification_date": "2023-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "OS11527",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "008388400",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "14NP9",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michelle Lynn Hernandez, APRN-C
• Priscilla Hernandez
• Sheridan Jane Hernandez, MD
• Hernando-Pasco Hospice, Inc.
• Hernando-Pasco Hospice, Inc.
• Mildred Herrera
• Lada Herrmann
• Andrew Joseph Hewitt, PMHNP
• Jennifer Hewitt, RN
• HHSC Transportation Mobility LLC

• Family Medicine Physician in New Port Richey, FL
• Providers in New Port Richey, FL by specialty
• Family Medicine Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.