Jose Ruben Hermann, MD

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

MMD90074LL Issued in SC

Practice address

302 University Pkwy
Aiken, SC 29801-6302

Phone

(500) 080-3641

NPI assigned

Apr 5, 2023

Last updated

Jun 22, 2023By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in SC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1680652800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687392000000",
    "number": "1174218325",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "302 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016302",
            "telephone_number": "803-641-5275"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 UNIVERSITY PKWY",
            "city": "AIKEN",
            "state": "SC",
            "postal_code": "298016302",
            "telephone_number": "500-080-3641"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "JOSE",
        "middle_name": "RUBEN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-04-05",
        "last_updated": "2023-06-22",
        "certification_date": "2023-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "SC",
            "license": null,
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "MMD90074LL",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SOUTH CAROLINA MEDICAL LICENSE",
            "identifier": "MMD90074LL",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Deidra Diane Henley, FNP-C
• Valerie Henley, PHLEBOTOMIST TECH
• Matthew Douglas Hensley, D.O.
• Mellissa Jean Hepworth, PTA
• Colleen Griffin Hergott, DPT
• Michelle Hernandez, COTA
• Donathan Herrin, LMT
• Raymond D Hesse, MD INT MED & GERI
• Hattie L Heyward
• Kenneth Stephen Hibbitts

• Internal Medicine Physician in Aiken, SC
• Providers in Aiken, SC by specialty
• Internal Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 22, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.