Active NPI
Santiago Herrera, M.D.
- Student in an Organized Health Care Education/Training Program
- Toledo, OH
National Provider Identifier
1346409034
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- 095890
- Practice address
- 2109 Hughes Dr Ste 400
Toledo, OH 43606-5143 - Phone
- (419) 291-2080
- NPI assigned
- Jun 6, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | 095890 | OH | Primary |
Addresses
Primary practice location
2109 Hughes Dr Ste 400
Toledo, OH 43606-5143
Mailing address
5212 Preston Pkwy W
Perrysburg, OH 43551-7161
Phone (215) 459-1149
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 095890 | OH | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322697600000",
"number": "1346409034",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5212 PRESTON PKWY W",
"city": "PERRYSBURG",
"state": "OH",
"postal_code": "435517161",
"telephone_number": "215-459-1149"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2109 HUGHES DR STE 400",
"city": "TOLEDO",
"state": "OH",
"postal_code": "436065143",
"telephone_number": "419-291-2080"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRERA",
"first_name": "SANTIAGO",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-06-06",
"last_updated": "2011-12-01",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "OH",
"license": "095890",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Toledo, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.