Provider Demographics
NPI:1407958283
Name:HERRING, RONALD DUWANE (DO)
Entity Type:Individual
Prefix:DR
First Name:RONALD
Middle Name:DUWANE
Last Name:HERRING
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 OTEYS RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-4938
Mailing Address - Country:US
Mailing Address - Phone:215-817-9950
Mailing Address - Fax:
Practice Address - Street 1:601 OTEYS RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-4938
Practice Address - Country:US
Practice Address - Phone:215-817-9950
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-02
Last Update Date:2009-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS-007504L207L00000X
NC200400354207L00000X
MDH0062671207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC5900807Medicaid
PA01489630Medicaid
NC5900807Medicaid
NC2037750Medicare ID - Type UnspecifiedMEDICARE
PA01489630Medicaid