Individual provider Active NPI

Juan J Herran, MD

  • Pulmonary Disease Physician
  • Orlando, FL
National Provider Identifier
1780663252
Registry record updated Jul 30, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
ME41261 Issued in FL
Practice address
1697 Lake Baldwin LN
Orlando, FL 32814
Phone
(407) 515-8585
Fax
(407) 575-8584
NPI assigned
Jan 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 30, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pulmonary Disease Physician 207RP1001X ME41261 FL Primary

Addresses

Primary practice location

1697 Lake Baldwin LN
Orlando, FL 32814

Mailing address

717 E Michigan St
Orlando, FL 32806-4645
Phone (407) 515-8585

Other practice location 1

717 E Michigan St
Orlando, FL 32806-4645
Phone (407) 515-8585

Other identifiers 1

IdentifierTypeStateIssuer
06837100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME41261FLMDPulmonary Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Florida Lung Asthma and Sleep Specialists, P.a. Pulmonary Disease CurrentSince Jun 1, 2018 Accepting new patients
Pulmonary Care of Central Florida PastSince Apr 1, 2004 Accepting new patients
Florida Hospital Medical Group Inc Past Accepting new patients
Orlando Cancer Center Inc Past Accepting new patients

Locations

717 E Michigan St
Orlando, FL 32806
Phone (407) 515-8585

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • FHIR API: https://fhir4.healow.com/fhir/r4/FGCHDD

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564444800000",
    "number": "1780663252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "717 E MICHIGAN ST",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328064645",
            "telephone_number": "407-515-8585",
            "fax_number": "407-575-8584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1697 LAKE BALDWIN LN",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "32814",
            "telephone_number": "407-515-8585",
            "fax_number": "407-575-8584"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "717 E Michigan St",
            "address_purpose": "LOCATION",
            "city": "Orlando",
            "state": "FL",
            "postal_code": "328064645",
            "country_code": "US",
            "telephone_number": "407-515-8585",
            "fax_number": "407-575-8584",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HERRAN",
        "first_name": "JUAN",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-01-12",
        "last_updated": "2019-07-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "FL",
            "license": "ME41261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "06837100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2019; 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.