Individual provider Active NPI

Debora Ellen Williams-Herman, M.D.

  • Pediatric Allergy/Immunology Physician
  • King of Prussia, PA
National Provider Identifier
1194106245
Registry record updated Jun 15, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Allergy/Immunology PhysicianTaxonomy code 2080P0201X
License
G68413 Issued in CA
Practice address
1020 1St Ave
C/O CSL Behring Inc.
King of Prussia, PA 19406-1310
Phone
(610) 308-0173
NPI assigned
Jun 15, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 15, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Allergy/Immunology Physician 2080P0201X G68413 CA Primary

Addresses

Primary practice location

1020 1St Ave
C/O CSL Behring Inc.
King of Prussia, PA 19406-1310

Mailing address

45 Arreton Rd
Princeton, NJ 08540-1427
Phone (609) 497-1966

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G68413CAMDPediatric Allergy/Immunology Physician

NPI Registry JSON

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1434326400000",
    "number": "1194106245",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 ARRETON RD",
            "city": "PRINCETON",
            "state": "NJ",
            "postal_code": "085401427",
            "telephone_number": "609-497-1966",
            "fax_number": "801-457-3121"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1020 1ST AVE",
            "address_2": "C/O CSL BEHRING INC.",
            "city": "KING OF PRUSSIA",
            "state": "PA",
            "postal_code": "194061310",
            "telephone_number": "610-308-0173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS-HERMAN",
        "first_name": "DEBORA",
        "middle_name": "ELLEN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0201X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Allergy/Immunology",
            "state": "CA",
            "license": "G68413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in King of Prussia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.