Tara Dupuy Herrero (NPI# 1376565291, PAC ID# 8527092774) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA).
| Nation Provider ID (NPI) | 1376565291 |
| PAC ID by PECOS | 8527092774 |
| Professional Enrollment ID | I20180904003339 |
| Full Name | Tara Dupuy Herrero |
| Organization Legal Name | BLACK MOUNTAIN ANESTHESIA GROUP |
| Address |
750 Hospital Loop Craig CO 81625-8750 |
| Phone Number | 9708505607 |
| Gender | F |
| Credential | CNA |
| Graduation Year | 2004 |
| Primary Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| Group Practice PAC ID | 6800107525 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | M |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 061314 | MEMORIAL HOSPITAL, THE |
| Address | Phone | Organization |
|---|---|---|
| 750 Hospital Loop, Craig, CO 81625-8750 | 9708505607 | BLACK MOUNTAIN ANESTHESIA GROUP |
| Organization Legal Name | BLACK MOUNTAIN ANESTHESIA GROUP |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Trey Nathaniel Gorham | Certified Registered Nurse Anesthetist (crna) | Black Mountain Anesthesia Group | 750 Hospital Loop, Craig, CO 81625-8750 |
| Street Address |
750 HOSPITAL LOOP |
| City | CRAIG |
| State | CO |
| Zip | 81625-8750 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Eric T Wang | Internal Medicine | Rural Physicians Group Pannu Pllc | 750 Hospital Loop, Craig, CO 81625-8750 |
| Gerald Irving Myers | Cardiovascular Disease (cardiology) | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Dana L Miller | General Surgery | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Trey Nathaniel Gorham | Certified Registered Nurse Anesthetist (crna) | Black Mountain Anesthesia Group | 750 Hospital Loop, Craig, CO 81625-8750 |
| Jimmy S Ellis | Obstetrics/gynecology | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Mary N Wardrop | Emergency Medicine | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Ted J Akers | Family Medicine | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Patrick N Machacek | Physician Assistant | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Christopher J Ryan | Family Medicine | 750 Hospital Loop, Craig, CO 81625-8750 | |
| Derek D Harper | Podiatry | The Memorial Hospital | 750 Hospital Loop, Craig, CO 81625-8750 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rita J Petersen | Chiropractic | 450 Ctr St, Craig, CO 81625-1126 | |
| Craig W Rummel | Chiropractic | 333 E Victory Way, Craig, CO 81625-1823 | |
| Sarah M Hopfenbeck | Internal Medicine | Yampa Valley Medical Center | 595 Russell St, Craig, CO 81625-1920 |
| Jona Ely | Nurse Practitioner | Yampa Valley Medical Center | 595 Russell St, Craig, CO 81625-1920 |
| Mary Shannon Becker | Family Medicine | Yampa Valley Medical Center | 595 Russell St, Craig, CO 81625-1920 |
| Raymond C Petersen | Internal Medicine | Yampa Valley Medical Center | 595 Russell St, Craig, CO 81625-1920 |
| Carol A Bolt | Physician Assistant | The Memorial Hospital | 600 Russell St, Craig, CO 81625-2018 |
| Larry W Kipe | Family Medicine | The Memorial Hospital | 600 Russell St, Craig, CO 81625-2018 |
| Kelsie L Bond | Physician Assistant | The Memorial Hospital | 600 Russell St, Craig, CO 81625-2018 |
| Lauren M Good | Dermatology | The Memorial Hospital | 785 Russell St, Craig, CO 81625-2019 |
| Find all physicians in zip 81625 | |||
| City | CRAIG |
| Zip Code | 81625 |
| Specialty | CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
| City + Specialty | CRAIG + CERTIFIED REGISTERED NURSE ANESTHETIST (CRNA) |
Please comment or provide details below to improve the information on Tara Dupuy Herrero.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.