Provider Demographics
NPI:1114978178
Name:ENDOCRINE CARE & EDUCATION CENTER, PLLC
Entity Type:Organization
Organization Name:ENDOCRINE CARE & EDUCATION CENTER, PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:C
Authorized Official - Last Name:HERMINGHUYSEN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:540-366-5050
Mailing Address - Street 1:7533 WILLIAMSON RD NW
Mailing Address - Street 2:
Mailing Address - City:ROANOKE
Mailing Address - State:VA
Mailing Address - Zip Code:24019-4301
Mailing Address - Country:US
Mailing Address - Phone:540-366-5050
Mailing Address - Fax:540-366-5099
Practice Address - Street 1:7533 WILLIAMSON RD NW
Practice Address - Street 2:
Practice Address - City:ROANOKE
Practice Address - State:VA
Practice Address - Zip Code:24019-4301
Practice Address - Country:US
Practice Address - Phone:540-366-5050
Practice Address - Fax:540-366-5099
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-15
Last Update Date:2010-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & MetabolismGroup - Single Specialty