DR. MATTHEW RYAN HERRON (NPI# 1275783722) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275783722 |
| Entity Type | Individual |
| Full Name | DR. MATTHEW RYAN HERRON |
| Credential | M.D. |
| Practice Address |
1338 Phay Ave Canon City CO 81212-2302 |
| Mailing Address |
5420 Backglen Dr Colorado Springs CO 80906-8600 |
| Practice Telephone | 4193507755 |
| Mailing Telephone | 4193507755 |
| Enumeration Date | 2008-09-22 |
| Last Update Date | 2011-09-07 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207P00000X | Emergency Medicine | 47886 | CO | Allopathic & Osteopathic Physicians |
| N | 207P00000X | Emergency Medicine | MT189327 | PA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205474160 | Matthew Gelston Herron | Case Manager/Care Coordinator | 700 Shoshone Ave Unit 26, Green River, WY 82935-5558 | 2019-12-11 |
| Street Address |
1338 PHAY AVE |
| City | CANON CITY |
| State | CO |
| Zip Code | 81212-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669462404 | Keith P Minihane | Orthopaedic Surgery | 1338 Phay Ave, Canon City, CO 81212-2302 | 2005-10-24 |
| 1699376764 | Pueblo Radiological Group, P.C. | Radiology | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-11-05 |
| 1275133506 | Sheridan Childrens Healthcare Services of Colorado PC | Pediatrics | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-10-27 |
| 1689272585 | Catholic Health Initiatives Colorado | Orthopaedic Surgery | 1338 Phay Ave, Bldg D Ortho, Canon City, CO 81212-2326 | 2020-10-13 |
| 1124634902 | Catholic Health Initiatives Colorado | Obstetrics & Gynecology | 1338 Phay Ave, Bldg D Ob, Canon City, CO 81212-2326 | 2020-09-17 |
| 1073124954 | Catholic Health Initiatives Colorado | Surgery | 1338 Phay Ave, Bldg D Gs, Canon City, CO 81212-2311 | 2020-08-13 |
| 1467061036 | Catholic Health Initiatives Colorado | Internal Medicine | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-07-29 |
| 1659907046 | Usacs of Colorado Inc | Emergency Medicine | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-03-17 |
| 1780241794 | Tyler William Randall | Nurse Practitioner | 1338 Phay Ave, Canon City, CO 81212-2311 | 2019-05-24 |
| 1790278950 | Rachel Ruth Maxwell | Physical Therapist | 1338 Phay Ave, Canon City, CO 81212-2311 | 2018-06-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083212393 | Buck Jack LLC | Physical Therapist | Mountain View Core Knowledge School 890 Field Ave, Cannon City, CO 81212 | 2020-10-09 |
| 1942841374 | Glorious Works Neurotherapy | Community/Behavioral Health | 115 N 7th Street, Canon City, CO 81212 | 2019-10-07 |
| 1376046292 | Lonnie Mccarron | Social Worker | 600 Evans Rd, Fremont Correctional Facility, Canon City, CO 81212 | 2018-03-16 |
| 1487156964 | Patrick Neil Cox | Case Manager/Care Coordinator | 3239 Independence Road, Canon City, CO 81212 | 2018-03-01 |
| 1831559806 | Justin Ensinger | Counselor | 700 Four Mile Parkway, Canon City, CO 81212 | 2016-03-03 |
| 1710365713 | Amber Conover | Health Educator | 105 N 10th Street, Canon City, CO 81212 | 2015-05-11 |
| 1902073448 | Richard R Williams | Counselor | 612 Field Ave, Canon City, CO 81212 | 2008-05-14 |
| 1861662249 | Huh Inc | Hearing Instrument Specialist | 121 Justice Center Rd Ste D, Canon City, CO 81212 | 2008-03-03 |
| 1013113828 | Deborah Eileen Shock | Nurse Practitioner | 275 W Hwy 50, Canon City, CO 81212 | 2007-06-27 |
| 1245433564 | Lindsey Elizabeth Fish | Internal Medicine | 275 West Hwy 50, Colorado Territorial Correctional Facility, Canon City, CO 81212 | 2007-06-06 |
| Find all providers in zip 81212 | ||||
| Taxonomy Code | 207P00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Emergency Medicine |
| An emergency physician focuses on the immediate decision making and action necessary to prevent death or any further disability both in the pre-hospital setting by directing emergency medical technicians and in the emergency department. The emergency physician provides immediate recognition, evaluation, care, stabilization and disposition of a generally diversified population of adult and pediatric patients in response to acute illness and injury. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: mofified source] - Additional Resources: American Board of Emergency Medicine, 2007. http://www.abem.org/public/; American Osteopathic Board of Emergency Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Emergency Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Emergency Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114954351 | Robert D. Lins Jr. | Emergency Medicine | St Thomas More Hospital, 1338 Phay Ave, Canon City, CO 81212 | 2006-06-26 |
| 1326021353 | George D Yang | Emergency Medicine | 147 Mourning Dove Dr, Canon City, CO 81212-9476 | 2005-11-23 |
| 1659907046 | Usacs of Colorado Inc | Emergency Medicine | 1338 Phay Ave, Canon City, CO 81212-2311 | 2020-03-17 |
| 1023456258 | Alec Douglas Bower | Emergency Medicine | 1338 Phay Ave, Canon City, CO 81212 | 2013-06-10 |
| 1700020088 | Scott Geiger | Emergency Medicine | 1338 Phay Ave, Canon City, CO 81212-2302 | 2009-04-30 |
| 1942214283 | Dorothy Twellman | Emergency Medicine | 1338 Phay Ave, St Thomas More Hospital, Canon City, CO 81212-2302 | 2006-07-29 |
| 1902855604 | Northwest Colorado Emergency Physicians | Emergency Medicine | 1338 Phay Ave, Canon City, CO 81212-2302 | 2006-05-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811596331 | Usacs of Colorado Inc | Emergency Medicine | 10975 Howells Rd, Colorado Springs, CO 80908-3731 | 2020-10-26 |
| 1427662709 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - Md, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1578177895 | Emergency Medical Specialists, PC | Emergency Medicine | Powers Fsed - App, 2770 N. Powers Blvd, Colorado Springs, CO 80922 | 2020-09-03 |
| 1851905178 | Emergency Medical Specialists, PC | Emergency Medicine | Woodmen Fsed - Md, 3790 E. Woodmen Road, Colorado Springs, CO 80920 | 2020-09-03 |
| 1710591037 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - Md, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1619581998 | Emergency Medical Specialists, PC | Emergency Medicine | Fountain Fsed - App, 7890 Fountain Mesa Rd, Fountain, CO 80817 | 2020-09-03 |
| 1740894039 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - Md, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1003420324 | Emergency Medical Specialists, PC | Emergency Medicine | Meadowgrass Fsed - App, 13510 Meadowgrass Dr, Colorado Springs, CO 80921 | 2020-09-03 |
| 1700490018 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Health System - Md, 1400 E. Boulder Street, Colorado Springs, CO 80909-5533 | 2020-09-03 |
| 1619581923 | Emergency Medical Specialists, PC | Emergency Medicine | Memorial Health System - App, 1400 E. Boulder Street, Colorado Springs, CO 80909-5533 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | CANON CITY |
| Zip Code | 81212 |
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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.