Katrice L Herndon
MD | Pediatrics | Female
Katrice L Herndon, MD is a Detroit, Michigan based Pediatric doctor with medical specialization in
General Pediatrics.
Current practice location of Katrice L Herndon is
4201 Saint Antoine St, Suite 7a, Detroit, Michigan - 48201-2153. She can be contacted on phone at
313-745-4091 and fax number 313-966-0993.
Katrice L Herndon is a sole proprietor of her business.
NPI number (Unique professional ID) for Katrice L Herndon is
1407969827 which was assigned by NPPES on 17 Aug, 2006 and it was last updated on 24 Mar, 2011.
Katrice L Herndon license number is
4301077884 for Pediatrics (208000000X) in Michigan.
Katrice L Herndon is a pediatrician who is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.
Complete Profile:
Katrice L Herndon basic information including her official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics |
|---|
| Provider Name : | Katrice L Herndon |
|---|
| Credential : | MD |
|---|
| Gender : | Female |
|---|
Business Address:
Katrice L Herndon 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 : | 4201 Saint Antoine St, Suite 7a
Detroit, MI, 48201-2153
United States |
|---|
| Phone Number : | 313-745-4091 |
|---|
| Fax Number : | 313-966-0993 |
|---|
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 : | 1407969827 |
|---|
| NPI Entity Type : | Individual |
|---|
| First Enrolment Date : | 17 Aug, 2006 |
|---|
| Last Updated On : | 24 Mar, 2011 |
|---|
Medicare Participation:
Katrice L Herndon participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 7214936400 |
|---|
| Medicare Enrollment ID : | I20061218000089 |
|---|
| Primary Specialty : | Internal Medicine |
|---|
| Medical School : | Wayne State University School Of Medicine |
|---|
| Graduation Year : | 2005 |
|---|
| Accepts Medicare? | Yes. Katrice L Herndon accepts medicare insurance. |
|---|
Group Practice Association:
Katrice L Herndon 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 Katrice L Herndon is associated with along with the number of members in that group. She may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
|---|
| Health Centers Detroit Foundation, Inc. | 4284539081 | 9 | 4201 Saint Antoine St
Detroit, MI - 482012153
Ph: 3137454091 | 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 Katrice L Herndon are as mentioned. Primary taxonomy code for Katrice L Herndon, MD is
208000000X (Pediatrics).
| Taxonomy Code | Speciality | Primary | License No. | State |
|---|
| 208000000X | Pediatrics | Yes | 4301077884 | MI |
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 : | 19433 Orleans St
Detroit, MI, 48203-1393
United States |
|---|
| Phone Number : | 313-584-5597 |
|---|
Business Location:
Patients can refer following map for directions to
Katrice L Herndon practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.