Active NPI
Larry Herron, MD
- Emergency Medicine Physician
- Vincennes, IN
National Provider Identifier
1487745972
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 01022191A
- Practice address
- 520 S 7TH St
Vincennes, IN 47591-1038 - Phone
- (812) 885-3685
- Fax
- (812) 885-3917
- NPI assigned
- Sep 27, 2006
- 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 |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 01022191A | IN | Primary |
Addresses
Primary practice location
520 S 7TH St
Vincennes, IN 47591-1038
Mailing address
520 S 7TH St
Vincennes, IN 47591-1038
Phone (812) 885-3685
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 100155040 | Medicaid | IN | |
| 000000569483 | Other | IN | ANTHEM |
| P00477831 | Other | IN | RAILROAD MEDICARE |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01022191A | IN | MD | Emergency Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159315200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1232496000000",
"number": "1487745972",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "520 S 7TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911038",
"telephone_number": "812-885-3685",
"fax_number": "812-885-3917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "520 S 7TH ST",
"city": "VINCENNES",
"state": "IN",
"postal_code": "475911038",
"telephone_number": "812-885-3685",
"fax_number": "812-885-3917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRON",
"first_name": "LARRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-09-27",
"last_updated": "2009-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "IN",
"license": "01022191A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "100155040",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000569483",
"state": "IN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00477831",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Vincennes, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2009; 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.