MARSHALL TODD HERRON (NPI# 1225003064) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1225003064 |
Entity Type | Individual |
Full Name | MARSHALL TODD HERRON |
Credential | DPM |
Practice Address |
230 Cedar Pointe Dr Athens GA 30605-3339 |
Practice Telephone | 7065493668 |
Practice Fax Number | 7066135069 |
Mailing Telephone | 7065493668 |
Mailing Fax Number | 7066135069 |
Enumeration Date | 2006-02-22 |
Last Update Date | 2008-05-15 |
Gender Code | M |
Is Sole Proprietor | Y |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 213E00000X | Podiatrist | POD000733 | GA | Podiatric Medicine & Surgery Service Providers |
State | Issuer | Identifier | Type Code |
---|---|---|---|
GA | WELLCARE | 378560 | 01 |
GA | RAILROAD MEDICARE | 480017437 | 01 |
GA | CIGNA | 6521170 | 01 |
GA | MEDICARE DMERC | 1015170002 | 01 |
GA | 000627228B | 05 | |
GA | AMERIGROUP | 10076000 | 01 |
Street Address |
230 CEDAR POINTE DR |
City | ATHENS |
State | GA |
Zip Code | 30605-3339 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1386602464 | Anthony Roy Gordon | Podiatrist | 230 Cedar Pointe Dr, Athens, GA 30605-3339 | 2006-05-01 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1811413701 | Lifecare Pharmacy Ga Corp | Pharmacy | 130 Gains School Rd, Athens, GA 30605 | 2017-08-22 |
1194245423 | Melissa Brooke Wilson | Speech-Language Pathologist | 345 Research Drive Apartment 76, Athens, GA 30605 | 2017-06-27 |
1467982512 | Beth Kay Mcdonald | Counselor | 455 S Lumpkin St, Athens, GA 30605 | 2017-06-12 |
1841741063 | Jessica Parker | Specialist | 1060 Gaines School Rd, Suite A4c, Athens, GA 30605 | 2016-10-24 |
1417374869 | Northeast Georgia Wellness Associates, LLC | Dietitian, Registered | 1197 Cedar Shoals Drive #103, Athens, GA 30605 | 2014-03-24 |
1245571272 | Optimum Medical Healthcare | Durable Medical Equipment & Medical Supplies | 1715 Cedar Shoals Drive, Athens, GA 30605 | 2013-03-15 |
1972850709 | Sandra Joy Motte | Occupational Therapy Assistant | 275 Woodgrove Dr, Athens, GA 30605 | 2012-08-10 |
1124309851 | Kasey Brown | Social Worker | 188 S. Milledge Ave., Suite 2, Athens, GA 30605 | 2011-09-08 |
1154652071 | Chris Mayo Counseling and Psychotherapy, Lcsw, LLC | Social Worker | 135 Milford Dr, Athens, GA 30605 | 2010-01-15 |
1700039732 | Andrew Case | Psychologist | 105a Cedar Rock Trace, Suite 5, Athens, GA 30605 | 2008-11-04 |
Find all providers in zip 30605 |
Taxonomy Code | 213E00000X |
Grouping | Podiatric Medicine & Surgery Service Providers |
Classification | Podiatrist |
A podiatrist is a person qualified by a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. Podiatrists diagnose and treat foot diseases and deformities. They perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1154836708 | Advanced Foot Care, LLP | Podiatrist | 705 Cook Dr Ste 200, Athens, TN 37303-3494 | 2017-12-05 |
1114257441 | Foot Clinic of East Texas, PC | Podiatrist | 612 Maryland Dr, Athens, TX 75751-3332 | 2010-01-08 |
1023135027 | Uren,dr.k Scott Dba Athens Podiatry Center | Podiatrist | 910 W Hobbs St, Athens, AL 35611-1412 | 2007-03-23 |
1346260429 | Enrico Tan | Podiatrist | 410 E State St, Athens, OH 45701-1819 | 2006-07-20 |
1447235627 | Nels Arvid Vasenden | Podiatrist | 298 Prince Ave, Athens, GA 30601-2445 | 2005-12-12 |
1518960855 | Clair L. Bello IIi | Podiatrist | 705 Cook Dr. Suite 200, My Foot Doctor Pllc, Athens, TN 37303 | 2005-05-31 |
1477872083 | Peninnah Kumar | Podiatrist | 1270 Prince Ave, Athens, GA 30606-2762 | 2010-05-21 |
1609045749 | North Alabama Foot Care LLC | Podiatrist | 910 W Hobbs St, Athens, AL 35611-1412 | 2008-02-22 |
1184892564 | Earl L. Driggs | Podiatrist | 75 Hospital Dr, Suite 340, Athens, OH 45701-2857 | 2008-02-19 |
1003012808 | Achilles Foot Center Psc | Podiatrist | 417 N Main St, Athens, PA 18810-1817 | 2007-06-27 |
Find all providers in ATHENS |
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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.