Organization Active NPI

Adelina W Herrero MD PC

  • Internal Medicine Physician
  • Ypsilanti, MI
National Provider Identifier
1033313473
Registry record updated Jan 25, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4301032776 Issued in MI
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

Updated by the provider on Jan 25, 2008

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)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
4301032776OtherMILICENSE
0608116702OtherMIBLUE CROSS
1052173MedicaidMI

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.