Active NPI
James Wesley Heroman, M.D.
- Retina Specialist (Ophthalmology) Physician
- Charlotte, NC
National Provider Identifier
1053454009
On this page
OIG exclusion record
The HHS Office of Inspector General’s List of Excluded Individuals/Entities (LEIE) contains a record with this NPI:
- Section 1128a(1) exclusion effective Jul 20, 2023.
Key facts
NPPES NPI Registry- Primary specialty
- Retina Specialist (Ophthalmology) Physician
- License
- 2013-01462
- Practice address
- 497 N Wendover Rd
Charlotte, NC 28211-1064 - Phone
- (704) 376-5424
- Fax
- (704) 376-5354
- NPI assigned
- Feb 15, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 4301097455 | MI | |
| Ophthalmology Physician | 207W00000X | IP843 | KY | |
| Retina Specialist (Ophthalmology) Physician | 207WX0107X | 2013-01462 | NC | Primary |
Addresses
Primary practice location
497 N Wendover Rd
Charlotte, NC 28211-1064
Mailing address
497 N Wendover Rd
Charlotte, NC 28211-1064
Phone (704) 376-5424
Other practice location 1
2848 Niles Rd
Saint Joseph, MI 49085-3352
Phone (269) 428-3300
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)
- Not enrolled
- HHS exclusion list flag
- Flagged The directory lists this NPI on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IP843 | KY | MD | Ophthalmology Physician |
Interoperability endpoints
- james.heromanmd.p1@direct.columbiaeyeclinic.nextgenshare.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171497600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1549238400000",
"number": "1053454009",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "497 N WENDOVER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111064",
"telephone_number": "704-376-5424",
"fax_number": "704-376-5424"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "497 N WENDOVER RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282111064",
"telephone_number": "704-376-5424",
"fax_number": "704-376-5354"
}
],
"practiceLocations": [
{
"address_1": "2848 Niles Rd",
"address_purpose": "LOCATION",
"city": "Saint Joseph",
"state": "MI",
"postal_code": "490853352",
"country_code": "US",
"telephone_number": "269-428-3300",
"fax_number": "269-428-5005",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HEROMAN",
"first_name": "JAMES",
"middle_name": "WESLEY",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-02-15",
"last_updated": "2019-02-04",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "MI",
"license": "4301097455",
"primary": false
},
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "KY",
"license": "IP843",
"primary": false
},
{
"code": "207WX0107X",
"taxonomy_group": "",
"desc": "Ophthalmology, Retina Specialist",
"state": "NC",
"license": "2013-01462",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.