Organization Active NPI

Deirdre a Herrington MD, LTD

  • Internal Medicine Physician
  • Winston-Salem, NC
National Provider Identifier
1811989072
Registry record updated Nov 27, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
25973 Issued in NC
Legal business name
DEIRDRE A HERRINGTON MD, LTD
Practice address
201 Executive Park Blvd
Winston-Salem, NC 27103-1503
Phone
(336) 774-0290
Fax
(336) 774-9012
NPI assigned
Aug 15, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 27, 2007

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

Authorized official

Name
Deirdre A Herrington, MD
Title
President
Phone
(336) 774-0290

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X 25973 NC Primary

Addresses

Primary practice location

201 Executive Park Blvd
Winston-Salem, NC 27103-1503

Mailing address

201 Executive Park Blvd
Winston-Salem, NC 27103-1503
Phone (336) 774-0290

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196121600000",
    "number": "1811989072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE PARK BLVD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271031503",
            "telephone_number": "336-774-0290",
            "fax_number": "336-774-9012"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 EXECUTIVE PARK BLVD",
            "city": "WINSTON-SALEM",
            "state": "NC",
            "postal_code": "271031503",
            "telephone_number": "336-774-0290",
            "fax_number": "336-774-9012"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DEIRDRE A HERRINGTON MD, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-11-27",
        "status": "A",
        "authorized_official_last_name": "HERRINGTON",
        "authorized_official_first_name": "DEIRDRE",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-774-0290",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "25973",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston-Salem, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; 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.