Individual provider Active NPI

Gregory Middleton Heroman, M.D.

  • Specialist
  • Baton Rouge, LA
National Provider Identifier
1831129105
Registry record updated Jul 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
012327 Issued in LA
Practice address
500 Rue de la Vie Ave
Suite 411
Baton Rouge, LA 70817-5126
Phone
(225) 751-4488
Fax
(225) 751-1001
NPI assigned
Jul 3, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 20, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 012327 LA Primary

Addresses

Primary practice location

500 Rue de la Vie Ave
Suite 411
Baton Rouge, LA 70817-5126

Mailing address

500 Rue de la Vie Ave
Suite 411
Baton Rouge, LA 70817-5126
Phone (225) 751-4488

Other identifiers 1

IdentifierTypeStateIssuer
1191876MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
012327LAMDSpecialist

Practice roles

OrganizationSpecialtyStatusNew patients
Woman's Assessment Center Physicians CurrentSince Sep 10, 2017 Accepting new patients
Womans Physician Group Specialist PastSince Aug 17, 2020 Accepting new patients

Locations

100 Womans Way
Baton Rouge, LA 70817
Phone (225) 293-2324

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1151884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1342742400000",
    "number": "1831129105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE AVE",
            "address_2": "SUITE 411",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-751-4488",
            "fax_number": "225-751-1001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 RUE DE LA VIE AVE",
            "address_2": "SUITE 411",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708175126",
            "telephone_number": "225-751-4488",
            "fax_number": "225-751-1001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEROMAN",
        "first_name": "GREGORY",
        "middle_name": "MIDDLETON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-03",
        "last_updated": "2012-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "LA",
            "license": "012327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1191876",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

Verify at the official NPI Registry.