Joseph G Herrmann MD LLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

103604 Issued in MO

Legal business name

JOSEPH G HERRMANN MD LLC

Practice address

621 S New Ballas Rd
Suite 419a
Saint Louis, MO 63141-8232

Phone

(314) 432-0056

Fax

(314) 432-6853

NPI assigned

Jan 12, 2009

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Erin Michelle Licavoli

Title

Office Manager

Phone

(314) 432-0056

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1231718400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1231718400000",
    "number": "1013154160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1922 DREXEL HILL CT",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631313647",
            "telephone_number": "314-432-0056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "621 S NEW BALLAS RD",
            "address_2": "SUITE 419A",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631418232",
            "telephone_number": "314-432-0056",
            "fax_number": "314-432-6853"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH G HERRMANN MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-01-12",
        "last_updated": "2009-01-12",
        "status": "A",
        "authorized_official_last_name": "LICAVOLI",
        "authorized_official_first_name": "ERIN",
        "authorized_official_middle_name": "MICHELLE",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "314-432-0056",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "MO",
            "license": "103604",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Logan Jorns
• Alan Jose, MD
• Rebecca S Jose, MSW
• Joseph and Nina Zeigler, D.M.D.S, P.C.
• Joseph F. Unger, Jr., D.C., a Professional Corporation
• Joseph Hughey DDS, PC
• Joseph M Duvall MD LLC
• Joseph M Seria MD LLC
• Joseph P Wood MD, LLC
• Joseph P. Cutrona, D.M.D., LLC

• Specialist in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Specialist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.