MICHAEL R. HERRON (NPI# 1063482859) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063482859 |
| Entity Type | Individual |
| Full Name | MICHAEL R. HERRON |
| Credential | CRNA |
| Practice Address |
1008 Minnequa Ave Pueblo CO 81004-3733 |
| Mailing Address |
2920 N Cascade Ave Fl 3 Colorado Springs CO 80907-6262 |
| Practice Telephone | 7195605717 |
| Enumeration Date | 2006-01-24 |
| Last Update Date | 2016-02-26 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 367500000X | Nurse Anesthetist, Certified Registered | 35686 | CO | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CO | 97274070 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922421478 | Michael Herron | Counselor | 2480 N Decatur Blvd Ste 125, Las Vegas, NV 89108-2985 | 2014-02-03 |
| 1639239825 | Michael Anthony Herron | Emergency Medicine | 1501 Richard Stokes Dr, Decatur, GA 30033 | 2006-12-11 |
| 1700867207 | Michael K. Herron | Radiology | 8303 S Suncoast Blvd, Homosassa, FL 34446-5028 | 2005-11-10 |
| 1598750986 | Michael S Herron | Emergency Medicine | 520 S 7th St, Vincennes, IN 47591-1038 | 2005-09-13 |
| Street Address |
1008 MINNEQUA AVE |
| City | PUEBLO |
| State | CO |
| Zip Code | 81004-3733 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1366447922 | Gregory S Larsen | Anesthesiology | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2005-06-20 |
| 1497360705 | Catholic Health Initiatives Colorado | Internal Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-09-14 |
| 1649894833 | Obstetrix Medical Group of Colorado, P.C. | Pediatrics | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-06-03 |
| 1932735321 | Usacs of Colorado Inc | Emergency Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2020-03-17 |
| 1992264105 | Heather Crump Thoreson | Pharmacist | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2019-03-18 |
| 1225543630 | Catholic Health Iniatives Colorado | General Acute Care Hospital | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2017-12-07 |
| 1467985713 | Richard Wayne Tsambikos | General Practice | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2017-04-04 |
| 1053859983 | Danielle Marie Sanders | Nurse Practitioner | 1008 Minnequa Ave, Pueblo, CO 81004 | 2017-02-12 |
| 1497207336 | April Irvine | Dietitian, Registered | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2016-10-26 |
| 1750737862 | Trevor Wilson Halle | Emergency Medicine | 1008 Minnequa Ave, Pueblo, CO 81004-3733 | 2016-05-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780155929 | Renee C Lane | Nurse Practitioner | 1925 E. Orman Ave. Ste. A109, Pueblo, CO 81004 | 2018-12-16 |
| 1215406913 | Kaiser Foundation Healthplan of Colorado | Pharmacy | 2625 W. Pueblo Blvd, Pueblo, CO 81004 | 2018-11-26 |
| 1053895532 | Rebecka Ann Reatherford | Nurse Practitioner | St Mary-corwin Medical Center, 1008 Minnequa Ave, Pueblo, CO 81004 | 2018-09-20 |
| 1124510821 | Angela M Sillas-green | Counselor | 327 Colorado Ave., Pueblo, CO 81004 | 2018-05-30 |
| 1558898569 | Alexandra R B King | Family Medicine | Southern Colorado Family Medicine, 902 Lakeview Avenue, Pueblo, CO 81004 | 2017-05-22 |
| 1578098752 | James Williams | Counselor | 414 Broadway Ave, Pueblo, CO 81004 | 2017-04-26 |
| 1740732601 | Valerie A Senger | Counselor | 635 W Corona Ave Ste 214, Pueblo, CO 81004 | 2016-10-26 |
| 1194111500 | A New Leaf Therapy, Pllc | Community/Behavioral Health | 327 Colorado Ave, Pueblo, CO 81004 | 2015-04-13 |
| 1619371671 | Mariah Mcginnis | Registered Nurse | 1232 Van Buren St., Pueblo, CO 81004 | 2014-10-20 |
| 1730593112 | Maritza Martinez | Registered Nurse | 1026 Wabriendo Ave, Pueblo, CO 81004 | 2014-06-13 |
| Find all providers in zip 81004 | ||||
| Taxonomy Code | 367500000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Anesthetist, Certified Registered |
| (1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition. |
| Notes: Sources: (1) Council on Certification of Nurse Anesthetists, Park Ridge, IL, and Rhea, Ott, and Shafritz, The Facts On File Dictionary of Health Care Management, New York: Facts On File Publications, 1988. (2) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, The Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, Illinois: 1994, p. 548. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336507847 | Kyle Tipton | Nurse Anesthetist, Certified Registered | 4741 Eagleridge Circle, 206, Pueblo, CO 81008 | 2016-01-29 |
| 1245620830 | Tori Taylor | Nurse Anesthetist, Certified Registered | 112 W D St Ste 210-a, Pueblo, CO 81003-3461 | 2015-02-03 |
| 1437417748 | Trevor R Willardson | Nurse Anesthetist, Certified Registered | 400 West 16th, Pueblo, CO 81003-2828 | 2012-04-25 |
| 1790979219 | Elizabeth Gillum Wentling | Nurse Anesthetist, Certified Registered | 408 N Main St Fl 2, Pueblo, CO 81003 | 2007-08-28 |
| 1881899755 | Serena M. Ackerman | Nurse Anesthetist, Certified Registered | 400 West 16th Street, Pueblo, CO 81003-2745 | 2007-06-19 |
| 1255432555 | Leah Sue Carpenter | Nurse Anesthetist, Certified Registered | 1218 N Main St, Pueblo, CO 81003-2828 | 2006-09-26 |
| 1598794190 | Rex Lawrence Dillehay | Nurse Anesthetist, Certified Registered | 1828 Chianti Ct, Pueblo, CO 81001-9700 | 2006-07-03 |
| 1740248079 | Dena Edmunds | Nurse Anesthetist, Certified Registered | 112 W D St, Suite 210-a, Pueblo, CO 81003-3461 | 2006-05-03 |
| 1730157595 | Craig K Suderman | Nurse Anesthetist, Certified Registered | 4026 Jerry Murphy Rd, Pueblo, CO 81001-1045 | 2006-03-09 |
| 1821607938 | Lisa C Carter | Nurse Anesthetist, Certified Registered | 408 N Main St Fl 2, Pueblo, CO 81003-3123 | 2020-07-24 |
| Find all providers in PUEBLO | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.