Adam David Herrick, P.A.

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

6160 Issued in AZ

Practice address

7707 W Deer Valley Rd
115
Peoria, AZ 85382-2101

Phone

(623) 399-8606

NPI assigned

Oct 5, 2015

Last updated

Oct 5, 2015By 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

Medicare fee-for-service enrollment

Enrolled in AZ

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

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.

• Vital4Men LLC

  • General Practice Physician
  • Peoria, AZ
  • NPI 1639443757
  Medicare reassignment

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

{
    "created_epoch": "1444003200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1444003200000",
    "number": "1235509001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7707 W DEER VALLEY RD",
            "address_2": "115",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822101",
            "telephone_number": "623-399-8606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7707 W DEER VALLEY RD",
            "address_2": "115",
            "city": "PEORIA",
            "state": "AZ",
            "postal_code": "853822101",
            "telephone_number": "623-399-8606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRICK",
        "first_name": "ADAM",
        "middle_name": "DAVID",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-10-05",
        "last_updated": "2015-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "AZ",
            "license": "6160",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Monica Greenwald Hernandez, P.N.P.
• Orville Hernandez, PT
• Razel Espiritu Hernandez, NP-C
• Juan Ramon Herrera, APRN PMHNP
• Lauren Alexa Herrera, M.S., CCC-SLP
• Brandy Hershey, SLPA
• Cody Heslington, DMD
• Sterling Hester Jr., PTA CERTIFICATE
• George Edward Hibner, D.C., L.AC.
• Andrew G Hicks, PA

• Physician Assistant in Peoria, AZ
• Providers in Peoria, AZ by specialty
• Physician Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.