Active NPI
Eric Herrin, DPM
- Podiatrist
- Clearwater, FL
National Provider Identifier
1427388081
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Podiatrist
- License
- PO 2855
- Practice address
- 13600 Icot Blvd
BLDG B
Clearwater, FL 33760-3703 - Phone
- (727) 796-6900
- NPI assigned
- Jan 5, 2010
- Last updated
- Nov 29, 2016
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Podiatrist | 213E00000X | PO 2855 | FL | Primary |
Addresses
Primary practice location
13600 Icot Blvd
BLDG B
Clearwater, FL 33760-3703
Mailing address
112 N 12TH St
1909
Tampa, FL 33602-3764
Phone (713) 253-6554
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01512695 | Other | WI | RAILROAD MEDICARE |
| 1427388081 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 98.01 of 100
- Quality
- 76.03
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PO 2855 | FL | MD | Podiatrist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dzung D Dang DPM PA | Past | Accepting new patients | |
| Pro-Tech Sports Medicine Inc | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- South Miami, FL
- NPI 1255620563
-
- Primary Podiatric Medicine Podiatrist
- South Miami, FL
- NPI 1801098769
-
- Foot & Ankle Surgery Podiatrist
- Houston, TX
- NPI 1740462860
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1262649600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1480377600000",
"number": "1427388081",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "112 N 12TH ST",
"address_2": "1909",
"city": "TAMPA",
"state": "FL",
"postal_code": "336023764",
"telephone_number": "713-253-6554"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "13600 ICOT BLVD",
"address_2": "BLDG B",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337603703",
"telephone_number": "727-796-6900"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIN",
"first_name": "ERIC",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2010-01-05",
"last_updated": "2016-11-29",
"status": "A"
},
"taxonomies": [
{
"code": "213E00000X",
"taxonomy_group": "",
"desc": "Podiatrist",
"state": "FL",
"license": "PO 2855",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01512695",
"state": "WI"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1427388081",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- 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.