Active NPI
Craig Charles Herther, M.D.
- Otolaryngology Physician
- Dubuque, IA
National Provider Identifier
1548241037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 25217
- Practice address
- 310 N Grandview Ave
Dubuque, IA 52001-6388 - Phone
- (563) 588-0506
- Fax
- (563) 588-0451
- NPI assigned
- Nov 10, 2005
- 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 |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 25217 | IA | Primary |
Addresses
Primary practice location
310 N Grandview Ave
Dubuque, IA 52001-6388
Mailing address
310 N Grandview Ave
Dubuque, IA 52001-6388
Phone (563) 588-0506
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 42098297111 | Other | IA | JOHN DEERE PROVIDER ID |
| 0034587 | Medicaid | IA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25217 | IA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| The Finley Hospital | Past | Accepting new patients |
Organizations & group practices 1
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.
-
dba UnityPoint Health - Provider Services
- Emergency Medicine Physician
- Dubuque, IA
- NPI 1134176308
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1131580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1190592000000",
"number": "1548241037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "310 N GRANDVIEW AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016388",
"telephone_number": "563-588-0506",
"fax_number": "563-588-0451"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "310 N GRANDVIEW AVE",
"city": "DUBUQUE",
"state": "IA",
"postal_code": "520016388",
"telephone_number": "563-588-0506",
"fax_number": "563-588-0451"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERTHER",
"first_name": "CRAIG",
"middle_name": "CHARLES",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-11-10",
"last_updated": "2007-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "IA",
"license": "25217",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JOHN DEERE PROVIDER ID",
"identifier": "42098297111",
"state": "IA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0034587",
"state": "IA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Dubuque, IA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.