NPIMap

Organization Active NPI

Heras Healthcare

  • Obstetrics & Gynecology Physician
  • Monroe, GA
National Provider Identifier
1801021241
Registry record updated Sep 27, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
Legal business name
HERAS HEALTHCARE
Practice address
924 W Spring St
Monroe, GA 30655-1751
Phone
(770) 266-0935
Fax
(770) 266-0931
NPI assigned
May 28, 2009
Last updated
Sep 27, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2013

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

Authorized official

Name
Maribelle VerdialesNPI 1578690483
Title
MD
Phone
(770) 266-0935

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X NU Primary

Addresses

Primary practice location

924 W Spring St
Monroe, GA 30655-1751

Mailing address

924 W Spring St
Monroe, GA 30655-1751
Phone (770) 266-0935

National Provider Directory

National Provider Directory

Locations

924 W Spring St
#A
Monroe, GA 30655
Phone (770) 266-0935

Practitioners & affiliated clinicians

Practitioners 2

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": "1243468800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380240000000",
    "number": "1801021241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551751",
            "telephone_number": "770-266-0935",
            "fax_number": "770-266-0931"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 W SPRING ST",
            "city": "MONROE",
            "state": "GA",
            "postal_code": "306551751",
            "telephone_number": "770-266-0935",
            "fax_number": "770-266-0931"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERAS HEALTHCARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-05-28",
        "last_updated": "2013-09-27",
        "status": "A",
        "authorized_official_last_name": "VERDIALES",
        "authorized_official_first_name": "MARIBELLE",
        "authorized_official_title_or_position": "MD",
        "authorized_official_telephone_number": "770-266-0935"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2013; 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.