David E Herman, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036059251 Issued in IL

Practice address

543 Orchard St
Antioch, IL 60002-3107

Phone

(847) 395-3322

Fax

(847) 395-0921

NPI assigned

Aug 26, 2005

Last updated

Mar 25, 2014By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Interoperability endpoints

• Direct secure messaging: david.herman.1@20777.direct.athenahealth.com

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

{
    "created_epoch": "1125014400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1395705600000",
    "number": "1053304857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "543 ORCHARD ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600023107",
            "telephone_number": "847-395-3322",
            "fax_number": "847-395-0921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "543 ORCHARD ST",
            "city": "ANTIOCH",
            "state": "IL",
            "postal_code": "600023107",
            "telephone_number": "847-395-3322",
            "fax_number": "847-395-0921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMAN",
        "first_name": "DAVID",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-26",
        "last_updated": "2014-03-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036059251",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "WI",
            "license": "33173020",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036059511",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shirley Hawkins, LCSW
• Michael Heard, LCSW
• Pauravi Hefner
• Kimberly Henrichs
• Heritage Dental
• Shannon Marie Herman, PHARM D
• Highland Park CVS, L.L.C. (CVS Pharmacy # 08926)
• Jimmi Devang Hingu, PTA
• Robin Ann Holmer
• Theodore Voss Holroyd, PA

• Internal Medicine Physician in Antioch, IL
• Providers in Antioch, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 2014; 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.