Octavio Herrera-Verdugo

Primary specialty

Thoracic Surgery (Cardiothoracic Vascular Surgery) PhysicianTaxonomy code 208G00000X

License

E-3534 Issued in AR

Practice address

1225 Breckenridge Dr Ste 110
Little Rock, AR 72205-1565

Phone

(501) 391-1741

Fax

(501) 421-3802

NPI assigned

Sep 14, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1442188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540252800000",
    "number": "1467820928",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "304 WAINWRIGHT DR",
            "city": "NORTHBROOK",
            "state": "IL",
            "postal_code": "600621900",
            "telephone_number": "847-593-8460",
            "fax_number": "224-235-4652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1225 BRECKENRIDGE DR STE 110",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722051565",
            "telephone_number": "501-391-1741",
            "fax_number": "501-421-3802"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRERA-VERDUGO",
        "first_name": "OCTAVIO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-09-14",
        "last_updated": "2018-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "AR",
            "license": "E-3534",
            "primary": false
        },
        {
            "code": "208G00000X",
            "taxonomy_group": "",
            "desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
            "state": "AR",
            "license": "E-3534",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jennifer Marie Hernandez, APRN
• Melina Yasmin Hernandez, LMSW
• Michelle Hernandez, PHARMD
• Norma Hernandez
• Ruth Hernandez
• Carolyn Herrera, M.A.
• Hyland Charles Herring, PHARMD
• Megan Lynn Herring, DPM
• Christina Herrington
• Courtney Herrington

• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.