CHARLES BURKHEAD HERRON (NPI# 1528040672) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528040672 |
| Entity Type | Individual |
| Full Name | CHARLES BURKHEAD HERRON |
| Credential | M.D. |
| Practice Address |
305 Tyson Ave Paris TN 38242-4579 |
| Practice Telephone | 7316420025 |
| Practice Fax Number | 7316440899 |
| Mailing Telephone | 7316420025 |
| Mailing Fax Number | 7316440899 |
| Enumeration Date | 2005-11-15 |
| Last Update Date | 2013-01-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207N00000X | Dermatology | MD0000007370 | TN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TN | RAILROAD MEDICARE | 070014703 | 01 |
| TN | 1520224 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982815551 | Charles Herron | Driver | 1000 N 92nd St, Milwaukee, WI 53226-3533 | 2007-05-25 |
| Street Address |
305 TYSON AVE |
| City | PARIS |
| State | TN |
| Zip Code | 38242-4579 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780665919 | Lynn Ellen Dicus | Nurse Practitioner | 305 Tyson Ave, Paris, TN 38242-4579 | 2005-11-05 |
| 1356597298 | Annie Kathryn Massey | Physician Assistant | 305 Tyson Ave, Paris, TN 38242-4579 | 2008-08-12 |
| 1033307491 | Christy Leanne Lankford | Registered Nurse | 305 Tyson Ave, Paris, TN 38242-4579 | 2007-10-11 |
| 1396709283 | Paris Henry County Clinic, S.c. | Internal Medicine | 305 Tyson Ave, Paris, TN 38242-4579 | 2006-04-17 |
| 1770565459 | Andrew Clark Coleman | Internal Medicine | 305 Tyson Ave, Paris, TN 38242-4579 | 2005-11-17 |
| 1801878590 | James Hervey Hudson | Internal Medicine | 305 Tyson Ave, Paris, TN 38242-4579 | 2005-11-17 |
| 1063494193 | Terry Olean Harrison | General Practice | 305 Tyson Ave, Paris, TN 38242-4579 | 2005-11-15 |
| 1750363818 | Vince Charles Tusa | Internal Medicine | 305 Tyson Ave, Paris, TN 38242-4579 | 2005-11-15 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396374732 | Renee Michelle Girouard | Physician Assistant | 209 B Tyson Ave, Paris, TN 38242 | 2020-04-07 |
| 1255960134 | Alexander P Patrone | Student in an Organized Health Care Education/Training Program | 302b Tyson Ave, Paris, TN 38242 | 2020-04-03 |
| 1457980302 | Aswathy Krishnakumar | Student in an Organized Health Care Education/Training Program | 302b Tyson Avenue, Paris, TN 38242 | 2020-04-03 |
| 1053824052 | Rocky Mountain Holdings, LLC | Ambulance | 1949 Driggs Road, Paris, TN 38242 | 2017-11-13 |
| 1588199152 | Taylor Wilson | Dentist | 3485 Highway 79 N, Paris, TN 38242 | 2017-04-20 |
| 1215472592 | Elizabeth Lane Mcintosh | Behavioral Analyst | 28 Fieldstone Dr, Paris, TN 38242 | 2016-12-22 |
| 1124574959 | Patty Wilson | Counselor | 2555 E. Wood Street, Paris, TN 38242 | 2016-08-31 |
| 1942601539 | Trustworthy Anesthesia Care | Nurse Anesthetist, Certified Registered | 1010 Green Hill Dr, Paris, TN 38242 | 2014-09-15 |
| 1083963946 | West Tennessee Physical Medicine, Pllc | General Practice | 1024 Mineral Wells Avenue, Paris, TN 38242 | 2012-09-06 |
| 1316242514 | Henry Co. Health Dept. | Skilled Nursing Facility | 803 Joy St., Paris, TN 38242 | 2011-01-19 |
| Find all providers in zip 38242 | ||||
| Taxonomy Code | 207N00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Dermatology |
| A dermatologist is trained to diagnose and treat pediatric and adult patients with benign and malignant disorders of the skin, mouth, external genitalia, hair and nails, as well as a number of sexually transmitted diseases. The dermatologist has had additional training and experience in the diagnosis and treatment of skin cancers, melanomas, moles and other tumors of the skin, the management of contact dermatitis and other allergic and nonallergic skin disorders, and in the recognition of the skin manifestations of systemic (including internal malignancy) and infectious diseases. Dermatologists have special training in dermatopathology and in the surgical techniques used in dermatology. They also have expertise in the management of cosmetic disorders of the skin such as hair loss and scars and the skin changes associated with aging. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Dermatology, 2007. http://www.abderm.org/ Board certification is provided by the American Board of Dermatology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912957101 | Phillip Bowes Bandel | Dermatology | 911 Lamar Ave, Paris, TX 75460-4681 | 2006-05-11 |
| 1366434383 | Richard B Swint | Dermatology | 2510 Stillhouse Rd, Paris, TX 75462-2024 | 2005-08-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356964274 | Harpeth Valley Dermatology Pllc | Dermatology | 741 President Pl Ste 140, Smyrna, TN 37167-6808 | 2020-05-27 |
| 1538717202 | Christopher Reeder | Dermatology | 6453 Drumright Rd, College Grove, TN 37046-9142 | 2019-08-27 |
| 1346719085 | Skinmd Center Pllc | Dermatology | 751 Walnut Knoll Lane, Suite 2, Cordova, TN 38018-6301 | 2018-11-23 |
| 1467968859 | Outreach Clinics Unlimited Pllc | Dermatology | 1627 Old Gray Station Rd Ste 4, Johnson City, TN 37615-4193 | 2017-12-20 |
| 1295289114 | Firstcare Dermatology of Lawrenceburg, Pllc | Dermatology | 1002 N Locust Ave, Lawrenceburg, TN 38464-2707 | 2016-08-09 |
| 1790158012 | Joseph Prohaska | Dermatology | 1907 W Morris Blvd Ste G, Morristown, TN 37813-3866 | 2015-11-09 |
| 1346637048 | Jonathan Allen Miller | Dermatology | 5243 Little Debbie Pkwy Ste 111, Ooltewah, TN 37363-4515 | 2015-04-20 |
| 1073909156 | Neelam Patel | Dermatology | 470 Jones Rd, Clarksville, TN 37043-4005 | 2015-04-15 |
| 1013315373 | Robert J Kaplan, Md Pllc | Dermatology | 6401 Poplar Ave Ste 330, Memphis, TN 38119-4806 | 2014-12-18 |
| 1538575709 | Emily Dell | Dermatology | 1009 N State of Franklin Rd, Johnson City, TN 37604 | 2014-07-08 |
| 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.