DR. JAIME IMITOLA HERRERA MD. NPI 1548420615

NPI Information

NPI: 1548420615
Provider Name: DR. JAIME IMITOLA HERRERA, MD.
Classification: Psychiatry & Neurology - 2084N0400X
Entity Type: Individual

Specialization: Neurology

Organization: UNIVERSITY OF CONNECTICUT HEALTH CENTER

PECOS Registration: Yes

Address:
263 FARMINGTON AVENUE
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-4888
Get Directions

DR. Jaime Imitola Herrera, MD. is a neurology psychiatry neurology in Farmington, CT with 31 years of experience. The provider is a Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. DR. Jaime Imitola Herrera, MD. NPI is 1548420615. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

263 FARMINGTON AVENUE
FARMINGTON, CT
ZIP 06030
Phone: (860) 679-4888
Fax: (860) 679-0131

The NPI 1548420615 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 6/12/2008 and was last updated on 5/29/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	2084N0400X	Psychiatry & Neurology	Neurology	35122346	OHIO	No
2	2084N0400X	Psychiatry & Neurology	Neurology	063204	CONNECTICUT	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0093556	MEDICAID	OHIO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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