NPIMap

Organization Active NPI

Nicholas a Herrero MD PLLC

  • Otolaryngology Physician
  • Orange Park, FL
National Provider Identifier
1760796957
Registry record updated Oct 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
Legal business name
NICHOLAS A HERRERO MD PLLC
Practice address
2035 Professional Center Dr
Suite a
Orange Park, FL 32073-4492
Phone
(904) 272-3200
NPI assigned
Jul 30, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2010

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

Authorized official

Name
Nicholas A Herrero
Title
Owner
Phone
(904) 272-3200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Y00000X Primary

Addresses

Primary practice location

2035 Professional Center Dr
Suite a
Orange Park, FL 32073-4492

Mailing address

2035 Professional Center Dr
Suite a
Orange Park, FL 32073-4492
Phone (904) 272-3200

National Provider Directory

National Provider Directory

Locations

2035 Professional Center Dr
#D
Orange Park, FL 32073
Phone (904) 272-0384

Practitioners & affiliated clinicians

Practitioners 2

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": "1280448000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1287446400000",
    "number": "1760796957",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2035 PROFESSIONAL CENTER DR",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734492",
            "telephone_number": "904-272-3200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2035 PROFESSIONAL CENTER DR",
            "address_2": "SUITE A",
            "city": "ORANGE PARK",
            "state": "FL",
            "postal_code": "320734492",
            "telephone_number": "904-272-3200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NICHOLAS A HERRERO MD PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-07-30",
        "last_updated": "2010-10-19",
        "status": "A",
        "authorized_official_last_name": "HERRERO",
        "authorized_official_first_name": "NICHOLAS",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "904-272-3200"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Otolaryngology",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Orange Park, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2010; 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.