Individual provider Active NPI

Travis Lloyd Herring, M.D.

  • General Practice Physician
  • Orange City, FL
National Provider Identifier
1740374834
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice PhysicianTaxonomy code 208D00000X
License
ME0056568 Issued in FL
Practice address
106 W Fern Dr
Orange City, FL 32763-7310
Phone
(386) 775-0525
NPI assigned
Oct 3, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X ME0056568 FL Primary

Addresses

Primary practice location

106 W Fern Dr
Orange City, FL 32763-7310

Mailing address

106 W Fern Dr
Orange City, FL 32763-7310
Phone (386) 775-0525

Other identifiers 1

IdentifierTypeStateIssuer
10437OtherFLBC/BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110222000236 FL Practitioner - Family PracticePractitioner - Internal MedicinePractitioner - Preventive Medicine 9931380144 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Internal Medicine, Preventive Medicine
Education
Other, 1987
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

106 W Fern Dr
Orange City, FL 32763-7310
Phone (386) 775-0525

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME0056568FLMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Travis L Herring MD PA CurrentSince Dec 27, 2010 Accepting new patients

Locations

106 W Fern Dr
Orange City, FL 32763
Phone (386) 775-0525

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1740374834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "106 W FERN DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637310",
            "telephone_number": "386-775-0525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 W FERN DR",
            "city": "ORANGE CITY",
            "state": "FL",
            "postal_code": "327637310",
            "telephone_number": "386-775-0525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRING",
        "first_name": "TRAVIS",
        "middle_name": "LLOYD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-03",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "FL",
            "license": "ME0056568",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC/BS",
            "identifier": "10437",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange City, FL

Sources for this page

Verify at the official NPI Registry.