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 IDNo. of MembersPractice AddressGroup Accepts Medicare
Health Centers Detroit Foundation, Inc.428453908194201 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 SpecialityPrimaryLicense No.State
208000000XPediatricsYes4301077884MI
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.