Individual provider Active NPI

Michael Ray Herwig, RPA

  • Surgical Physician Assistant
  • Salina, KS
National Provider Identifier
1932136637
Registry record updated Dec 6, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
PA00144 Issued in KS
Practice address
520 S Santa Fe Ave
Suite 400
Salina, KS 67401-4190
Phone
(785) 823-2215
Fax
(785) 823-7459
NPI assigned
Jun 27, 2006
Last updated
Dec 6, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X PA00144 KS Primary

Addresses

Primary practice location

520 S Santa Fe Ave
Suite 400
Salina, KS 67401-4190

Mailing address

523 S Santa Fe Ave
Salina, KS 67401-4145
Phone (785) 823-2215

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
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA00144KSMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Salina Sports Medicine & Orthopedic Clinic PastSince Jul 9, 1990 Accepting new patients

Organizations & group practices 1

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": "1151366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1512518400000",
    "number": "1932136637",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "523 S SANTA FE AVE",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014145",
            "telephone_number": "785-823-2215",
            "fax_number": "785-823-7459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 S SANTA FE AVE",
            "address_2": "SUITE 400",
            "city": "SALINA",
            "state": "KS",
            "postal_code": "674014190",
            "telephone_number": "785-823-2215",
            "fax_number": "785-823-7459"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERWIG",
        "first_name": "MICHAEL",
        "middle_name": "RAY",
        "credential": "RPA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-27",
        "last_updated": "2017-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "KS",
            "license": "PA00144",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salina, KS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2017; 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.