Marcom Earl Herren, D.O.

Primary specialty

Pain Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081P2900X

License

H9988 Issued in TX

Practice address

4301 Maplewood Ave
Ste a
Wichita Falls, TX 76308-3879

Phone

(940) 696-8500

Fax

(940) 696-8546

NPI assigned

Jul 15, 2006

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 NM

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 Osteopathy

State licenses

Practice roles

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.

• Maplewood Ambulatory Surgery Center, Inc.

  • Ambulatory Surgical Clinic/Center
  • Wichita Falls, TX
  • NPI 1861418378
  NPD (past)

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

{
    "created_epoch": "1152921600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1326064825",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4301 MAPLEWOOD AVE",
            "address_2": "STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083879",
            "telephone_number": "940-696-8500",
            "fax_number": "940-696-8546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 MAPLEWOOD AVE",
            "address_2": "STE A",
            "city": "WICHITA FALLS",
            "state": "TX",
            "postal_code": "763083879",
            "telephone_number": "940-696-8500",
            "fax_number": "940-696-8546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERREN",
        "first_name": "MARCOM",
        "middle_name": "EARL",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-15",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081P2900X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Pain Medicine",
            "state": "TX",
            "license": "H9988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PO80Y0218",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Heritage Home Medical Equipment, Inc
• Adriana Hernandez
• Evelyn Hernandez, MSW
• Mary Grace Hernandez, LPC
• Shanda Leigh Hernandez, PA-C
• Laura Beth Hetrick, LPC
• Jacob Heuring, DO
• Brittany Taylor Hewett, DMD
• Don W. Heyen, DDS
• HHN TX1 LLC (HighCrest Hospital of Wichita Falls)

• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Wichita Falls, TX
• Providers in Wichita Falls, TX by specialty
• Pain Medicine (Physical Medicine & Rehabilitation) Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.