Individual provider Active NPI

Anna Catherine Hereth, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Oakmont, PA
National Provider Identifier
1174074074
Registry record updated Oct 17, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085.005998 Issued in IL
Practice address
705 Washington Ave
Oakmont, PA 15139-1722
Phone
(412) 225-4910
NPI assigned
Oct 17, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085.005998 IL Primary

Addresses

Primary practice location

705 Washington Ave
Oakmont, PA 15139-1722

Mailing address

705 Washington Ave
Oakmont, PA 15139-1722
Phone (412) 225-4910

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240307002564 IL Practitioner - Physician Assistant 1355691049 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
TMS Clinical Services PLLCGroup PAC ID 7517395064, 30 clinicians

Practice addresses (Care Compare)

1100 Jorie Blvd
Oak Brook, IL 60523-2219
Phone (630) 974-6602

899 Skokie Blvd
Suite 260
Northbrook, IL 60062-4019
Phone (630) 974-6602

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085.005998ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Relief Mental Health PastSince Dec 6, 2020 Accepting new patients

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.

NPI Registry JSON

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

{
    "created_epoch": "1476662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476662400000",
    "number": "1174074074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "705 WASHINGTON AVE",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391722",
            "telephone_number": "412-225-4910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 WASHINGTON AVE",
            "city": "OAKMONT",
            "state": "PA",
            "postal_code": "151391722",
            "telephone_number": "412-225-4910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERETH",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-10-17",
        "last_updated": "2016-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085.005998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oakmont, PA

Sources for this page

Verify at the official NPI Registry.