Organization Active NPI

Herro Anesthesia & Pain LTD

  • Specialist
  • Phoenix, AZ
National Provider Identifier
1609982883
Registry record updated Apr 11, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
8949 Issued in AZ
Legal business name
HERRO ANESTHESIA & PAIN LTD
Practice address
5115 N Central Ave
Phoenix, AZ 85012-1478
Phone
(602) 264-1818
Fax
(602) 264-8015
NPI assigned
Aug 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 11, 2018

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

Authorized official

Name
Dr. Ellison F Herro, MD
Title
Managing Member
Phone
(602) 264-1395

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 8949 AZ Primary

Addresses

Primary practice location

5115 N Central Ave
Phoenix, AZ 85012-1478

Mailing address

5133 N Central Ave
Ste 200
Phoenix, AZ 85012-1438
Phone (602) 264-1395

Other identifiers 2

IdentifierTypeStateIssuer
213257MedicaidAZ
AZ0057000OtherAZBLUE CROSS BLUE SHIELD AZ

National Provider Directory

National Provider Directory

Locations

5133 N Central Ave
Ste 200
Phoenix, AZ 85012
Phone (602) 264-1395

5115 N Central Ave
Phoenix, AZ 85012
Phone (302) 264-1818

NPI Registry JSON

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

{
    "created_epoch": "1156118400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1523404800000",
    "number": "1609982883",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5133 N CENTRAL AVE",
            "address_2": "STE 200",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121438",
            "telephone_number": "602-264-1395",
            "fax_number": "602-264-2172"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5115 N CENTRAL AVE",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850121478",
            "telephone_number": "602-264-1818",
            "fax_number": "602-264-8015"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERRO ANESTHESIA & PAIN LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-21",
        "last_updated": "2018-04-11",
        "status": "A",
        "authorized_official_last_name": "HERRO",
        "authorized_official_first_name": "ELLISON",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "602-264-1395",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AZ",
            "license": "8949",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "213257",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD AZ",
            "identifier": "AZ0057000",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Phoenix, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.