Dr. James Raymond Hereth
M.D. | Pediatric Critical Care Medicine | Male
Dr. James Raymond Hereth, M.D. is a Buffalo, New York based Pediatric doctor with medical specialization in
Pediatric Critical Care Medicine.
Current practice location of Dr. James Raymond Hereth is
818 Ellicott St, Buffalo, New York - 14203-1021. He can be contacted on phone at
716-323-0200 and fax number 716-323-0293.
Dr. James Raymond Hereth is a sole proprietor of his business.
NPI number (Unique professional ID) for Dr. James Raymond Hereth is
1912161530 which was assigned by NPPES on 13 Jul, 2008 and it was last updated on 18 Jan, 2021.
Dr. James Raymond Hereth license number is
247895 for Pediatrics Pediatric Critical Care Medicine (2080P0203X) in New York.
Dr. James Raymond Hereth is expert in advanced life support for children from the term or near-term neonate to the adolescent. This competence extends to the critical care management of life-threatening organ system failure from any cause in both medical and surgical patients and to the support of vital physiological functions. This specialist may have administrative responsibilities for intensive care units and also facilitates patient care among other specialists.
Complete Profile:
Dr. James Raymond Hereth basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Critical Care Medicine |
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| Provider Name : | Dr. James Raymond Hereth |
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| Credential : | M.D. |
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| Gender : | Male |
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Business Address:
Dr. James Raymond Hereth address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 818 Ellicott St
Buffalo, NY, 14203-1021
United States |
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| Phone Number : | 716-323-0200 |
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| Fax Number : | 716-323-0293 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1912161530 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 13 Jul, 2008 |
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| Last Updated On : | 18 Jan, 2021 |
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Medicare Participation:
Dr. James Raymond Hereth participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 6507917341 |
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| Medicare Enrollment ID : | I20090708000011 |
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| Primary Specialty : | Internal Medicine |
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| Medical School : | State University Of New York At Buffalo School Of Medicine |
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| Graduation Year : | 2004 |
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| Accepts Medicare? | Yes. Dr. James Raymond Hereth accepts medicare insurance. |
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Group Practice Association:
Dr. James Raymond Hereth is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Dr. James Raymond Hereth is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Kaleida Health | 7810805280 | 176 | 100 High St
Buffalo, NY - 142031126
Ph: 7168595600 | Yes |
| Kaleida Health | 7810805280 | 176 | 1540 Maple Rd
Williamsville, NY - 142213647
Ph: 7165683600 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. James Raymond Hereth are as mentioned. Primary taxonomy code for Dr. James Raymond Hereth, M.D. is
2080P0203X (Pediatrics Pediatric Critical Care Medicine).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 2080P0203X | Pediatrics Pediatric Critical Care Medicine | Yes | 247895 | NY |
| 207R00000X | Internal Medicine | No | 247895 | NY |
Legacy Identifiers:
Other legacy medical identifiers of Dr. James Raymond Hereth such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 03103335 | MEDICAID | NY | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | 1001 Main St Fl 4
Buffalo, NY, 14203-1009
United States |
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| Phone Number : | 716-323-0200 |
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| Fax Number : | 716-323-0293 |
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Business Location:
Patients can refer following map for directions to
Dr. James Raymond Hereth practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.