Richard S Herdener, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

MD00023695 Issued in WA

Practice address

510 S Cowley St Ste 201
Spokane, WA 99202-1332

Phone

(509) 252-1299

NPI assigned

Feb 22, 2006

Last updated

Sep 27, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in WA, FL2 enrollments

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 2

Specialty

Internal MedicineAlso: Dermatology

Education

University of Washington School of Medicine, 1976

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://app.meldrx.com/api/fhir/ez_00377

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.

• Chesnut MD

  • Dermatology Physician
  • Spokane, WA
  • NPI 1437798568
  Medicare reassignment NPD
• Marianne Carroll DO PA

  • Dermatology Physician
  • West Palm Beach, FL
  • NPI 1114386869
  Medicare reassignment NPD
• Family Dermatology Co

  • Dermatology Physician
  • Oak Harbor, WA
  • NPI 1275816910
  Medicare reassignment
• Integrity Wound Care LLC

  • Dermatology Physician
  • San Antonio, TX
  • NPI 1750142071
  NPD
• Inland Empire Hospital Services Association

  dba Family Medicine of Spokane

  • Family Medicine Physician
  • Spokane, WA
  • NPI 1326002163
  NPD (past)
• Stephen William Doggett, M.D. PA

  • Radiation Oncology Physician
  • Newport Beach, CA
  • NPI 1427281666
  NPD (past)

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1457326365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2706 S THIERMAN LN",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992235057",
            "telephone_number": "509-456-8444",
            "fax_number": "509-455-9227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 S COWLEY ST STE 201",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992021332",
            "telephone_number": "509-252-1299"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 S Olive Ave # 116",
            "address_purpose": "LOCATION",
            "city": "West Palm Beach",
            "state": "FL",
            "postal_code": "334015501",
            "country_code": "US",
            "telephone_number": "561-223-6268",
            "fax_number": "561-223-6239",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERDENER",
        "first_name": "RICHARD",
        "middle_name": "S",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "WA",
            "license": "MD00023695",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1030170",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "O1942",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sienna Ruth Henson, LMFT
• Mona B Henspeter, RN
• David Stewart Boswell Hepburn
• Savannah Paige Hepting
• Herban Oasis (Diane Young LMT)
• Lauren Hereford, M.S. CCC-SLP
• Nelson Conrad Hergert
• Kristen Renee Heritage, LMHC
• Irene Herman
• Jodi Deanne Lindley Herman, LMHC

• Dermatology Physician in Spokane, WA
• Providers in Spokane, WA by specialty
• Dermatology Physician in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2024; 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.