Paul J. Hergenroeder, M.D., LTD

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

License

N7174 Issued in AR

Legal business name

PAUL J. HERGENROEDER, M.D., LTD

Practice address

2000 McLain St
Newport, AR 72112-3661

Phone

(870) 523-6728

NPI assigned

Jan 19, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Paul John Hergenroeder, MD

Title

President

Phone

(870) 523-6728

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1169164800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1124171293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 39",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721120039",
            "telephone_number": "870-523-6728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2000 MCLAIN ST",
            "city": "NEWPORT",
            "state": "AR",
            "postal_code": "721123661",
            "telephone_number": "870-523-6728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL J. HERGENROEDER, M.D., LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-19",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HERGENROEDER",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "JOHN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "870-523-6728",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AR",
            "license": "N7174",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUECROSSBLUESHIELD",
            "identifier": "5B232",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Savanna Kay Parsley
• Brian Patterson, CMP
• Laticia Patterson
• Marcellious Patterson, RECOVERY ASSISTANT
• Patti J. Mullins, DDS, PA
• Tammie Pearrow
• Jasmine Peel
• Terry Peevy, CMP
• Nia Pennington
• Olivia Grace Pepper, RN

• Obstetrics & Gynecology Physician in Newport, AR
• Providers in Newport, AR by specialty
• Obstetrics & Gynecology Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.