Mark Leonard Herring, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

24825 Issued in WI

Practice address

1355 Johnston Dr
Manitowoc, WI 54220-2131

Phone

(920) 682-2747

Fax

(920) 686-1498

NPI assigned

Apr 3, 2007

Sex

Male

Sole proprietor

Yes

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 WI

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

Specialty

Internal Medicine

Education

Other, 1981

Medicare assignment

May accept Medicare assignment

Group practices

Froedtert Manitowoc Medical Group, LLCGroup PAC ID 2365836954, 156 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Sharon S Richardson Community Hospice Hospice, Sheboygan Falls, WI, CCN 521582
• Holy Family Memorial Hospital, Manitowoc, WI, CCN 520107

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mark.herring.1@15589.direct.athenahealth.com
• Direct secure messaging: mherring147199@direct.froedtert.com

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.

• Froedtert Manitowoc Medical Group, LLC

  dba Froedtert Northeast Medical Group

  • Multi-Specialty Clinic/Center
  • Manitowoc, WI
  • NPI 1437829975

  Internal Medicine

  Medicare reassignment Care Compare group NPD
• Mark L Herring M.D., S.C.

  • Internal Medicine Physician
  • Manitowoc, WI
  • NPI 1184922320
  Medicare reassignment NPD Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Holy Family Memorial Inc

  dba Froedtert Holy Family Memorial Hospital

  • General Acute Care Hospital
  • Manitowoc, WI
  • NPI 1700998697
  Care Compare affiliation
• Sharon S. Richardson Hospice Home, Inc

  dba Sharon S. Richardson Community Hospice, Inc.

  • Community Based Hospice Care Agency
  • Sheboygan Falls, WI
  • NPI 1598855207
  Care Compare affiliation

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

{
    "created_epoch": "1175558400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1386766368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 JOHNSTON DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202131",
            "telephone_number": "920-682-2747",
            "fax_number": "920-686-1498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 JOHNSTON DR",
            "city": "MANITOWOC",
            "state": "WI",
            "postal_code": "542202131",
            "telephone_number": "920-682-2747",
            "fax_number": "920-686-1498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "MARK",
        "middle_name": "LEONARD",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "24825",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jason Arnold Helgeson, ATC LAT
• Tracy Hem, MSW, SAC-IT
• Jonathon Charles Henry, MD
• Laura A Henze, CSW
• Amy Lauren Herring, RN
• Alex Herrmann
• Robert Nolan Hetz, MD
• Michael E Hiebert, MD
• Amy Hilty
• Jennifer Hinz, RN

• Internal Medicine Physician in Manitowoc, WI
• Providers in Manitowoc, WI by specialty
• Internal Medicine Physician in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.