Active NPI
David Michael Herrmann, M.D.
- Obstetrics & Gynecology Physician
- Springfield, OR
National Provider Identifier
1114284189
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- MD176497
- Practice address
- 3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514 - Phone
- (541) 342-8550
- NPI assigned
- Apr 16, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Obstetrics & Gynecology Physician | 207V00000X | MD176497 | OR | Primary |
Addresses
Primary practice location
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514
Mailing address
PO Box 70368
Springfield, OR 97475-0120
Phone (541) 485-2777
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114284189 | Medicaid | WI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Obstetrics/Gynecology
- Education
- Rush Medical College of Rush University, 2012
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477-7514
Phone (541) 342-8550
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Womens Care, PC | Obstetrics & Gynecology | Current | Accepting new patients |
| Peacehealth | Past | Accepting new patients |
Locations
590 Country Club Pkwy
Ste A
Eugene, OR 97401
Phone (541) 683-1559
3100 Martin Luther King Jr Pkwy
Springfield, OR 97477
Phone (541) 342-8550
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Springfield, OR
- NPI 1144250044
-
- General Acute Care Hospital
- Springfield, OR
- NPI 1083888515
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334534400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1475020800000",
"number": "1114284189",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 70368",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974750120",
"telephone_number": "541-485-2777"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3100 MARTIN LUTHER KING JR PKWY",
"city": "SPRINGFIELD",
"state": "OR",
"postal_code": "974777514",
"telephone_number": "541-342-8550"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMANN",
"first_name": "DAVID",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2012-04-16",
"last_updated": "2016-09-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "OR",
"license": "MD176497",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1114284189",
"state": "WI"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springfield, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.