Esmeraldo Diaz Herrera, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

25806 Issued in TN

Practice address

101 JV Mangubat Dr
Waynesboro, TN 38485-2440

Phone

(931) 722-9999

Fax

(931) 722-2049

NPI assigned

Jan 5, 2006

Last updated

Jul 10, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TN

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

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.

• Southeastern Emergency Physicians LLC

  • Emergency Medicine Physician
  • Maysville, KY
  • NPI 1356379382

  TN

  Medicare reassignment NPD
• Maury Regional Hospital

  dba Wayne Medical Center

  • General Acute Care Hospital
  • Waynesboro, TN
  • NPI 1811927544
  NPD (past)
• Tennessee Valley Home Care, LLC

  dba Tennessee Quality Care - Home Health East

  • Home Health Agency
  • Lebanon, TN
  • NPI 1245059005
  NPD (past)

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

{
    "created_epoch": "1136419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1562716800000",
    "number": "1174501597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 JV MANGUBAT DR",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852440",
            "telephone_number": "931-722-9999",
            "fax_number": "931-722-2049"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 JV MANGUBAT DR",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384852440",
            "telephone_number": "931-722-9999",
            "fax_number": "931-722-2049"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA",
        "first_name": "ESMERALDO",
        "middle_name": "DIAZ",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-05",
        "last_updated": "2019-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "25806",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "25806",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3710089",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3085092",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hallmedical Clinic LLC
• Gregg Andrew Hamilton, D.P.T.
• Natasha M Harder, MD
• Chandra Harrison, B.S.
• Lauren Hays
• Kyle Horton, PT, DPT
• Elizabeth Humphrey, PHARM.D.
• Jerry M Duren (Wayne County General Hospital Pharmacy)
• Joe I Hall MD PC
• Robert R. Johannes, M.S. L.A.D.A.C.

• Internal Medicine Physician in Waynesboro, TN
• Providers in Waynesboro, TN by specialty
• Internal Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 2019; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.