Active NPI
Adelina W Herrero MD PC
- Internal Medicine Physician
- Ypsilanti, MI
National Provider Identifier
1033313473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 4301032776
- Legal business name
- ADELINA W HERRERO MD PC
- Practice address
- 316 Ecorse Rd Ste 100
Ypsilanti, MI 48198-5732 - Phone
- (734) 246-8282
- Fax
- (734) 246-5714
- NPI assigned
- Jun 11, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Dr. Adelina W Herrero, MD
- Title
- Physician
- Phone
- (734) 246-8282
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 4301032776 | MI | Primary |
Addresses
Primary practice location
316 Ecorse Rd Ste 100
Ypsilanti, MI 48198-5732
Mailing address
316 Ecorse Rd Ste 100
Ypsilanti, MI 48198-5732
Phone (734) 246-8282
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 4301032776 | Other | MI | LICENSE |
| 0608116702 | Other | MI | BLUE CROSS |
| 1052173 | Medicaid | MI |
National Provider Directory
National Provider DirectoryLocations
316 Ecorse Rd
Ste 100
Ypsilanti, MI 48198
Phone (734) 246-8282
850 S Hewitt Rd
Ste 60
Ypsilanti, MI 48197
Phone (734) 484-6420
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181520000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1201219200000",
"number": "1033313473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "316 ECORSE RD STE 100",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985732",
"telephone_number": "734-246-8282",
"fax_number": "734-246-5714"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "316 ECORSE RD STE 100",
"city": "YPSILANTI",
"state": "MI",
"postal_code": "481985732",
"telephone_number": "734-246-8282",
"fax_number": "734-246-5714"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ADELINA W HERRERO MD PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-11",
"last_updated": "2008-01-25",
"status": "A",
"authorized_official_last_name": "HERRERO",
"authorized_official_first_name": "ADELINA",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "PHYSICIAN",
"authorized_official_telephone_number": "734-246-8282",
"authorized_official_name_prefix": "Dr.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Internal Medicine",
"state": "MI",
"license": "4301032776",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "4301032776",
"state": "MI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS",
"identifier": "0608116702",
"state": "MI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1052173",
"state": "MI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Ypsilanti, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.