Provider Demographics
NPI:1598763153
Name:HERRON, JAMES FLOYD (MD)
Entity type:Individual
Prefix:DR
First Name:JAMES
Middle Name:FLOYD
Last Name:HERRON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2509 COUNTY HIGHWAY I
Mailing Address - Street 2:
Mailing Address - City:CHIPPEWA FALLS
Mailing Address - State:WI
Mailing Address - Zip Code:54729-2785
Mailing Address - Country:US
Mailing Address - Phone:715-723-9138
Mailing Address - Fax:
Practice Address - Street 1:475 CHIPPEWA MALL DR STE 418
Practice Address - Street 2:
Practice Address - City:CHIPPEWA FALLS
Practice Address - State:WI
Practice Address - Zip Code:54729-5047
Practice Address - Country:US
Practice Address - Phone:715-720-3780
Practice Address - Fax:715-720-2322
Is Sole Proprietor?:No
Enumeration Date:2005-07-08
Last Update Date:2019-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS04-29914207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine