Creston C Herold, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

024004E Issued in PA

Practice address

6375 Mercury Dr
Suite 200
Mechanicsburg, PA 17050-5282

Phone

(717) 620-2500

Fax

(717) 620-2511

NPI assigned

Sep 23, 2005

Last updated

Apr 22, 2010By 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 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

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.

• Myers Ambucare Surgery, LTD.

  • Surgery Physician
  • Harrisburg, PA
  • NPI 1861668899
  NPD

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

{
    "created_epoch": "1127433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271894400000",
    "number": "1184610289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6375 MERCURY DR",
            "address_2": "SUITE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170505282",
            "telephone_number": "717-620-2500",
            "fax_number": "717-620-2511"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6375 MERCURY DR",
            "address_2": "SUITE 200",
            "city": "MECHANICSBURG",
            "state": "PA",
            "postal_code": "170505282",
            "telephone_number": "717-620-2500",
            "fax_number": "717-620-2511"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROLD",
        "first_name": "CRESTON",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-23",
        "last_updated": "2010-04-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "024004E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0008570340003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heritage Medical Group, LLP (Shepherdstown Family Practice)
• Heritage Medical Group, LLP (Bowmansdale Family Practice)
• Heritage Medical Group, LLP (Heritage Ear, Nose & Throat/Facial Plastic Surgery)
• Sarah Herman
• Richard Alexander Hernandez, PT, DPT
• Maria Del Rocio Herrada, CRNP
• Ryan J Hershberger, O.D.
• Amanda Elizabeth Hershey, CRNP
• Mararet Mary Hess
• Marcia L. Hess, M.ED, CRC

• Family Medicine Physician in Mechanicsburg, PA
• Providers in Mechanicsburg, PA by specialty
• Family Medicine Physician in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 22, 2010; 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.