Active NPI
James Robert Herrin, M.D.
- Pediatrics Physician
- Conroe, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- E6094
- Practice address
- 333 N Rivershire Dr
Suite # 190
Conroe, TX 77304-0001 - Phone
- (936) 788-6060
- Fax
- (936) 788-6061
- NPI assigned
- Jun 10, 2006
- 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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | E6094 | TX | Primary |
Addresses
Primary practice location
333 N Rivershire Dr
Suite # 190
Conroe, TX 77304-0001
Mailing address
13276 Chappel Wood LN
Conroe, TX 77302-3477
Phone (936) 441-2314
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0020MH | Other | TX | BLUECROSS/BLUE SHIELD |
| 4204684 | Other | TX | AETNA # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| E6094 | TX | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Memorial Hermann Medical Group | Pediatrics | Current | Accepting new patients |
| Herrin Pediatric Clinic-PA | Pediatrics | Past | Accepting new patients |
Locations
601 River Pointe Dr
Ste 120
Conroe, TX 77304
Phone (936) 788-6060
1505 E Winding Way Dr
Ste 200
Friendswood, TX 77546
Phone (713) 366-7800
915 Gessner Rd
Ste 100
Houston, TX 77024
Phone (713) 242-2222
909 Frostwood Dr
Ste 1405
Houston, TX 77024
Phone (713) 338-5519
1801 North Loop W
Ste 30
Houston, TX 77008
Phone (713) 802-9781
3203 Broadway St
Pearland, TX 77581
Phone (281) 485-8876
Interoperability endpoints
- jherrin147995@memorialhermann.direct-ci.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Pediatrics Physician
- Conroe, TX
- NPI 1871833251
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1447291158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13276 CHAPPEL WOOD LN",
"city": "CONROE",
"state": "TX",
"postal_code": "773023477",
"telephone_number": "936-441-2314",
"fax_number": "936-788-6061"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "333 N RIVERSHIRE DR",
"address_2": "SUITE # 190",
"city": "CONROE",
"state": "TX",
"postal_code": "773040001",
"telephone_number": "936-788-6060",
"fax_number": "936-788-6061"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRIN",
"first_name": "JAMES",
"middle_name": "ROBERT",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-06-10",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "TX",
"license": "E6094",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUECROSS/BLUE SHIELD",
"identifier": "0020MH",
"state": "TX"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA #",
"identifier": "4204684",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Conroe, TX
Sources for this page
- 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.