Organization Active NPI

G. Patricia Herrera MD PA

  • Internal Medicine Physician
  • Raleigh, NC
National Provider Identifier
1760676647
Registry record updated Sep 4, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
G. PATRICIA HERRERA MD PA
Practice address
2501 Atrium Dr
Suite 310
Raleigh, NC 27607-6452
Phone
(919) 783-8334
Fax
(919) 783-8160
NPI assigned
Sep 4, 2007
Last updated
Sep 4, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2007

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

Authorized official

Name
Alma Rodriguez
Title
Office Manager
Phone
(919) 783-8334

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X NU Primary

Addresses

Primary practice location

2501 Atrium Dr
Suite 310
Raleigh, NC 27607-6452

Mailing address

2501 Atrium Dr
Suite 310
Raleigh, NC 27607-6452
Phone (919) 783-8334

Other identifiers 1

IdentifierTypeStateIssuer
2278935AOtherNCMEDICARE GROUP #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907001352 NC Part B Supplier - Clinic/Group Practice 9436125812 Receives reassigned benefits from 1 practitioner
Practice locations: Raleigh, NC

National Provider Directory

National Provider Directory

Locations

1004 Dresser Ct
Ste 106
Raleigh, NC 27609
Phone (919) 783-8334

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1188864000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1188864000000",
    "number": "1760676647",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2501 ATRIUM DR",
            "address_2": "SUITE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076452",
            "telephone_number": "919-783-8334",
            "fax_number": "919-783-8160"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 ATRIUM DR",
            "address_2": "SUITE 310",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276076452",
            "telephone_number": "919-783-8334",
            "fax_number": "919-783-8160"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "G. PATRICIA HERRERA MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-09-04",
        "last_updated": "2007-09-04",
        "status": "A",
        "authorized_official_last_name": "RODRIGUEZ",
        "authorized_official_first_name": "ALMA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "919-783-8334"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GROUP #",
            "identifier": "2278935A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 4, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.