DR. VIRGLE O. HERRIN JR. (NPI# 1124009501) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1124009501 |
| Entity Type | Individual |
| Full Name | DR. VIRGLE O. HERRIN JR. |
| Credential | M.D. |
| Practice Address |
115 E 23rd St Roswell NM 88201-6471 |
| Practice Telephone | 5756251292 |
| Practice Fax Number | 5756244836 |
| Mailing Telephone | 5756251292 |
| Mailing Fax Number | 5756244836 |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2020-09-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207P00000X | Emergency Medicine | ME107006 | FL | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MD203548 | LA | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | 80-44 | NM | Allopathic & Osteopathic Physicians |
| N | 207Q00000X | Family Medicine | 80-44 | NM | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 80-44 | NM | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NM | 00015068 | 05 |
| Street Address |
115 E 23RD ST |
| City | ROSWELL |
| State | NM |
| Zip Code | 88201-6471 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023580073 | Leticia Medrano | Nurse Practitioner | 115 E 23rd St, Roswell, NM 88201-6471 | 2018-12-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902310022 | Corey A Carter | Specialist/Technologist, Other | 117 E 19th Street, Roswell, NM 88201 | 2017-11-28 |
| 1326598541 | Dove Medical Corporation | Family Medicine | 110 East 3rd Street, Roswell, NM 88201 | 2016-10-12 |
| 1841748381 | Anali Velez | Registered Nurse | 300 N Kentucky, Roswell, NM 88201 | 2016-09-13 |
| 1831647379 | Rebecca Palomino | Registered Nurse | 800 Marion Richards Rd, Roswell, NM 88201 | 2016-09-13 |
| 1215300926 | Heart Path Oriental Medicine | Clinic/Center | 810 N Union, Roswell, NM 88201 | 2015-11-03 |
| 1538564745 | Lacey Scott | Pharmacist | 1835 N. Main, Roswell, NM 88201 | 2014-10-30 |
| 1962815852 | Marium Khan | Internal Medicine | 400 Military Heights Place, Roswell, NM 88201 | 2014-06-09 |
| 1316288913 | Anaya Counseling | Community/Behavioral Health | 613 W 2nd St Ste 4, Roswell, NM 88201 | 2013-03-06 |
| 1205185386 | Rosarita Brady | Occupational Therapist | 300 N. Kentucky, Roswell, NM 88201 | 2012-09-05 |
| 1922360049 | Ashley Spinhirne Thompson | Speech-Language Pathologist | 304 N. Richardson, Roswell, NM 88201 | 2012-06-14 |
| Find all providers in zip 88201 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861803371 | Afc Physicians of Georgia, PC | General Practice | 1095 Woodstock Rd, Roswell, GA 30075-0000 | 2014-05-19 |
| 1710226873 | Hatice Sahin Zahran | General Practice | 4983 Fairhaven Way Ne, Roswell, GA 30075-6114 | 2013-02-10 |
| 1548551344 | Fitmed Wellness, LLC | General Practice | 9420 Willeo Rd, Suite 206, Roswell, GA 30075-6772 | 2011-04-27 |
| 1114156932 | Frederick David Doe | General Practice | 600 Canoncito Dr, Roswell, NM 88201-1313 | 2009-07-14 |
| 1932112703 | Marcia V Byrd | General Practice | 11050 Crabapple Road, Ste 105b, Roswell, GA 30075 | 2006-08-14 |
| 1609282961 | Complete Care 514 LLC | General Practice | 109 W Bland St, Roswell, NM 88203-5708 | 2014-07-08 |
| 1417212903 | Gocorona LLC | General Practice | 304 S Lea Ave, Roswell, NM 88203-4562 | 2012-07-10 |
| 1194003467 | Alan R Jakins Md PC Inc | General Practice | 110 W College Blvd, Ste F, Roswell, NM 88201-5170 | 2011-08-03 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023616679 | Gemma Cristina Zapater | General Practice | 923 Calle Fuerte Ne, Albuquerque, NM 87113-2373 | 2020-10-15 |
| 1710596036 | Provider Cares Network LLC | General Practice | 10401 Montgomery Pkwy Ne Ste 1a, Albuquerque, NM 87111-3876 | 2020-07-23 |
| 1154948081 | Designed Health Options, LLC | General Practice | 5065 Corrales Rd., Corrales, NM 87048 | 2020-06-26 |
| 1538714381 | Uyama A Fernandez | General Practice | 400 Gold Ave Sw Ste 220, Albuquerque, NM 87102-3278 | 2019-08-08 |
| 1386180909 | Lisselle Marie Villarrubia Ocasio | General Practice | Msc10 6000 1 University of New Mexico, Albuquerque, NM 87131-5505 | 2017-01-07 |
| 1225586969 | Joan Goldsworthy | General Practice | Unm School of Medicine Msc09 5040, 1 University of New Mexico, Albuquerque, NM 87131-0001 | 2016-09-12 |
| 1033568902 | Karen Griest | General Practice | 68 Pinon Trl, Cedar Crest, NM 87008-9444 | 2016-06-10 |
| 1447610886 | Sean T Mcgee | General Practice | Univeristy of New Mexico, Albuquerque, NM 87131-0001 | 2016-02-27 |
| 1275901266 | Lynn Schrader Sweeney | General Practice | 701 Kerney Dr, Farmington, NM 87401-3660 | 2015-09-08 |
| 1942608708 | Marathon Health, Inc. | General Practice | 2208 W Main St, C/o Concho Employee Health Center, Artesia, NM 88210-3720 | 2014-12-10 |
| Find all providers with the same taxonomy | ||||
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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.