OCTAVIO HERRERA-VERDUGO (NPI# 1467820928) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467820928 |
| Entity Type | Individual |
| Full Name | OCTAVIO HERRERA-VERDUGO |
| Practice Address |
1225 Breckenridge Dr Ste 110 Little Rock AR 72205-1565 |
| Mailing Address |
304 Wainwright Dr Northbrook IL 60062-1900 |
| Practice Telephone | 5013911741 |
| Practice Fax Number | 5014213802 |
| Mailing Telephone | 8475938460 |
| Mailing Fax Number | 2242354652 |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2018-10-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
E-3534 | AR | Allopathic & Osteopathic Physicians |
| Y | 208G00000X | Thoracic Surgery (Cardiothoracic Vascular Surgery) | E-3534 | AR | Allopathic & Osteopathic Physicians |
| Street Address |
1225 BRECKENRIDGE DR STE 110 |
| City | LITTLE ROCK |
| State | AR |
| Zip Code | 72205-1565 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932719465 | Darleisha Renee Stigall | Behavior Technician | 1210 Aldersdate Rd, Little Rock, AR 72205 | 2020-08-10 |
| 1316563638 | Unknown Amisha | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot #634, University of Arkansas, Little Rock, AR 72205 | 2020-06-23 |
| 1225667272 | Ann-marie Frances Hayre | Student in an Organized Health Care Education/Training Program | 4310 West Markham, Slot 589, Little Rock, AR 72205 | 2020-04-02 |
| 1952930075 | Alexandria Leigh Smith | Student in an Organized Health Care Education/Training Program | 4301 West Markham St, Slot 531, Little Rock, AR 72205 | 2020-04-02 |
| 1093353922 | Phil Fagala | Pharmacist | 614 North Beechwood, Little Rock, AR 72205 | 2019-12-10 |
| 1295391688 | Home To Community Living, Inc | Physical Therapist | 10201 W Markham Street Pulaski, Little Rock, AR 72205 | 2019-05-12 |
| 1669933693 | Sandy Louise Webb | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 530, Little Rock, AR 72205 | 2019-03-31 |
| 1457812828 | Vincent Battafarano | Student in an Organized Health Care Education/Training Program | 4301 West Markham, Slot 602, Little Rock, AR 72205 | 2019-03-28 |
| 1063978922 | Franks Pediatric Occupational Therapy LLC | Occupational Therapist | 5516 C St, Little Rock, AR 72205 | 2019-02-15 |
| 1497210199 | Integrative Counseling Center LLC | Counselor | 10515 W Markham St Ste D3, Little Rock, AR 72205 | 2019-02-06 |
| Find all providers in zip 72205 | ||||
| Taxonomy Code | 208G00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Thoracic Surgery (Cardiothoracic Vascular Surgery) |
| A thoracic surgeon provides the operative, perioperative and critical care of patients with pathologic conditions within the chest. Included is the surgical care of coronary artery disease, cancers of the lung, esophagus and chest wall, abnormalities of the trachea, abnormalities of the great vessels and heart valves, congenital anomalies, tumors of the mediastinum and diseases of the diaphragm. The management of the airway and injuries of the chest is within the scope of the specialty. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added] Additional Resources: American Board of Thoracic Surgery, 2007. http://www.abts.org/. Board certification for Medical Doctors (MDs) is provided by the American Board of Thoracic Surgery. Thoracic surgeons have the knowledge, experience and technical skills to accurately diagnose, operate upon safely, and effectively manage patients with thoracic diseases of the chest. This requires substantial knowledge of cardiorespiratory physiology and oncology, as well as capability in the use of heart assist devices, management of abnormal heart rhythms and drainage of the chest cavity, respiratory support systems, endoscopy and invasive and noninvasive diagnostic techniques. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215322003 | George Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 53 Quercus Cir, Little Rock, AR 72223-5159 | 2015-03-30 |
| 1033404199 | Jack Stephens Heart Institute LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 St. Vincent Circle, Ste 501, Little Rock, AR 72205-5414 | 2011-06-16 |
| 1710146907 | J P Rowen Surgery, Plc LLC | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9501 Lile Dr Ste 888, Little Rock, AR 72205-6233 | 2008-06-03 |
| 1811073604 | Watkins, Bauer & Meadors, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 5 Saint Vincent Cir Ste 501, Little Rock, AR 72205-5414 | 2006-10-27 |
| 1376640284 | Reginald Wb Barnes Md Pa | Thoracic Surgery (Cardiothoracic Vascular Surgery) | One St Vincent Circle Suite 360, Little Rock, AR 72205 | 2006-09-20 |
| 1023009040 | Victor Bernard Williams | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9712 W Markham St, Little Rock, AR 72205-2124 | 2005-10-31 |
| 1871914911 | Michael T. Nolen, M. D., P. A. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7 Shackleford West Blvd, Suite 402, Little Rock, AR 72211-3886 | 2013-12-16 |
| 1598031882 | Arkansas Health Group | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9601 Baptist Health Dr, Suite 700, Little Rock, AR 72205-6321 | 2012-03-30 |
| 1740550805 | S. Thomas Rayburn IIi, Md, P.a. | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 9601 Baptist Health Dr, Ste. 570, Little Rock, AR 72205-6321 | 2012-01-06 |
| 1588956957 | David J Pennywell | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 7 Shackleford West Blvd, Little Rock, AR 72211 | 2011-05-04 |
| Find all providers in LITTLE ROCK | ||||
| City | LITTLE ROCK |
| Zip Code | 72205 |
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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.