Active NPI
Deirdre a Herrington MD, LTD
- Internal Medicine Physician
- Winston Salem, NC
National Provider Identifier
1811989072
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 25973
- 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
- Last updated
- Nov 27, 2007
- Organization subpart
- No
NPPES NPI Registry
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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 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 DirectoryPractitioners & 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.
-
- Internal Medicine Physician
- Winston Salem, NC
- NPI 1346424744
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.