Organization Active NPI

Jeffrey W. Herrold, M. D., P.a.

  • Specialist
  • Hot Springs, AR
National Provider Identifier
1700914694
Registry record updated Jan 5, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
C6620 Issued in AR
Legal business name
JEFFREY W. HERROLD, M. D., P.A.
Practice address
135 Medical Park PL
Hot Springs, AR 71901-8099
Phone
(501) 623-2500
Fax
(501) 623-5155
NPI assigned
Mar 1, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2012

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

Authorized official

Name
Dr. Jeffrey W. Herrold, M. D.NPI 1578512646
Title
Owner
Phone
(501) 623-2500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X C6620 AR Primary

Addresses

Primary practice location

135 Medical Park PL
Hot Springs, AR 71901-8099

Mailing address

135 Medical Park PL
Hot Springs, AR 71901-8099
Phone (501) 623-2500

Other identifiers 1

IdentifierTypeStateIssuer
129784001MedicaidAR

Other names 1

  • Arkansas Institute for Cosmetic and Plastic Surgery Doing business as

National Provider Directory

National Provider Directory

Locations

135 Medical Park Pl
Hot Springs National Park, AR 71901
Phone (501) 276-3324

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1172707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1325721600000",
    "number": "1700914694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "135 MEDICAL PARK PL",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018099",
            "telephone_number": "501-623-2500",
            "fax_number": "501-623-5155"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "135 MEDICAL PARK PL",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719018099",
            "telephone_number": "501-623-2500",
            "fax_number": "501-623-5155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFREY W. HERROLD, M. D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-01",
        "last_updated": "2012-01-05",
        "status": "A",
        "authorized_official_last_name": "HERROLD",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_middle_name": "W.",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-623-2500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "AR",
            "license": "C6620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "129784001",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Institute for Cosmetic and Plastic Surgery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2012; 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.