Joel Bain Herron, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

35078963 Issued in OH

Practice address

925 N Hamilton Rd
Suite 100
Gahanna, OH 43230-8708

Phone

(614) 473-9519

Fax

(614) 626-7774

NPI assigned

Aug 15, 2005

Last updated

Nov 8, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in OH

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

Dermatology

Education

University of South Carolina School of Medicine, 1997

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northeast Dermatology and Cosmetic Surgery CenterGroup PAC ID 2264439181, 6 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

0 of 100Reported as individual

Quality

0

Improvement activities

0

Cost

0

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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

• Northeast Dermatology and Cosmetic Surgery Center

  • Dermatology Physician
  • Gahanna, OH
  • NPI 1609882836
  Medicare reassignment Care Compare group NPD Authorized official
• Dermatology of Southeastern Ohio, Inc.

  • Dermatology Physician
  • Zanesville, OH
  • NPI 1295889574
  NPD (past)
• Osu Internal Medicine

  • Specialist
  • Columbus, OH
  • NPI 1346406972
  NPD (past)
• Osu Internal Medicine, LLC

  • Internal Medicine Physician
  • Columbus, OH
  • NPI 1740231448

  Dermatology

  NPD (past)

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731024000000",
    "number": "1154323681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD",
            "address_2": "SUITE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308708",
            "telephone_number": "614-473-9519",
            "fax_number": "614-473-9543"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 N HAMILTON RD",
            "address_2": "SUITE 100",
            "city": "GAHANNA",
            "state": "OH",
            "postal_code": "432308708",
            "telephone_number": "614-473-9519",
            "fax_number": "614-626-7774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRON",
        "first_name": "JOEL",
        "middle_name": "BAIN",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-15",
        "last_updated": "2024-11-08",
        "certification_date": "2024-11-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "OH",
            "license": "35078963",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2418600",
            "state": "OH"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jherron@northeastskin.ema.direct.md",
            "affiliation": "N",
            "endpointDescription": "Northeast Dermatology Direct Address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CCD",
            "address_1": "925 N Hamilton Rd Ste 100",
            "city": "Gahanna",
            "state": "OH",
            "country_code": "US",
            "postal_code": "432308709",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Allison Hendricks, MS
• Tricia Ann Hengehold, MD
• Erin Adelaide Hensell, DPT
• Edward C Herman, DDS
• Rachel Herman, DPT, PT
• Robert Mark Hersch
• Hess Chiropractic, LLC
• Courtney Michelle Hess-Dragovich, LMT
• Christopher Allen Hess, DC
• Rebecca Lynn Hetteberg, MSW LISW-S

• Dermatology Physician in Gahanna, OH
• Providers in Gahanna, OH by specialty
• Dermatology Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 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.