Active NPI
Richard Herron II, ATC
- Athletic Trainer
- Clarion, PA
National Provider Identifier
1417499450
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Athletic Trainer
- License
- RT006000
- Practice address
- 1301 Robinwood Dr
Clarion, PA 16214-8803 - Phone
- (724) 815-6294
- NPI assigned
- Nov 8, 2016
- Last updated
- Nov 8, 2016
- 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 |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | RT006000 | PA | Primary |
Addresses
Primary practice location
1301 Robinwood Dr
Clarion, PA 16214-8803
Mailing address
1301 Robinwood Dr
Clarion, PA 16214-8803
Phone (724) 815-6294
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RT006000 | PA | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478563200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478563200000",
"number": "1417499450",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1301 ROBINWOOD DR",
"city": "CLARION",
"state": "PA",
"postal_code": "162148803",
"telephone_number": "724-815-6294"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 ROBINWOOD DR",
"city": "CLARION",
"state": "PA",
"postal_code": "162148803",
"telephone_number": "724-815-6294"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "RICHARD",
"name_suffix": "II",
"credential": "ATC",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-11-08",
"last_updated": "2016-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "PA",
"license": "RT006000",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Clarion, PA
- Health Services of Clarion, Inc. (Womens Healthcare of Clarion)
- Health Services of Clarion, Inc. (Urology Services)
- Health Services of Clarion, Inc. (Internal Medicine & Cancer Care)
- Macy Heasley, PHARMD
- Brenda M Henry
- Andie Hill
- Lorri Hinton
- Deborah Hoff, M.ED.
- Cynthia Lee Hoffmeier, D.O.
- Ian Hollobaugh, CRNP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.