NPIMap

Individual provider Active NPI

Adam Douglas Herth, P.A.-C

  • Physician Assistant
  • Louisville, KY
National Provider Identifier
1265987390
Registry record updated Jan 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
APPLIED Issued in KY
Practice address
9880 Angies Way
Suite 250
Louisville, KY 40241-2851
Phone
(502) 394-6341
Fax
(502) 394-6340
NPI assigned
Aug 18, 2016
Last updated
Jan 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 19, 2021

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 APPLIED KY Primary

Addresses

Primary practice location

9880 Angies Way
Suite 250
Louisville, KY 40241-2851

Mailing address

PO Box 776351
Chicago, IL 60677-6351
Phone (502) 588-9490

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address aherth60061@direct.nortonhealthcare.org
FHIR URL https://epicsoap.nortonhealthcare.org/

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY, IN2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20161219002552 KY Practitioner - Physician Assistant 9537440151 Reassigns benefits to 2 organizations
I20210816001012 IN Practitioner - Physician Assistant 9537440151 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
May accept Medicare assignment
Group practices
Louisville Hip and Knee InstituteGroup PAC ID 3779990080, 18 clinicians

Practice addresses (Care Compare)

3810 Springhurst Blvd
Suite 310
Louisville, KY 40241-6162
Phone (502) 447-5633

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Master of Science, Physician Assistant

State licenses

LicenseStateTypeSpecialty
APPLIEDKYMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2016 Accepting new patients
Community Medical Associates, Inc. CurrentSince Dec 1, 2016 Accepting new patients

Locations

825 Barret Ave
Louisville, KY 40204
Phone (502) 272-5165

9880 Angies Way
Ste 250
Louisville, KY 40241
Phone (502) 394-6340

Interoperability endpoints

  • Direct secure messaging: adam.herth.1@22070.direct.athenahealth.com
  • Direct secure messaging: aherth60061@direct.nortonhealthcare.org

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 15

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1471478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611014400000",
    "number": "1265987390",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 776351",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606776351",
            "telephone_number": "502-588-9490",
            "fax_number": "502-272-5116"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9880 ANGIES WAY",
            "address_2": "SUITE 250",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402412851",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERTH",
        "first_name": "ADAM",
        "middle_name": "DOUGLAS",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-18",
        "last_updated": "2021-01-19",
        "certification_date": "2021-01-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "KY",
            "license": "APPLIED",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aherth60061@direct.nortonhealthcare.org",
            "affiliation": "N",
            "address_1": "9880 Angies Way",
            "address_2": "Suite 250",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412851",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https://epicsoap.nortonhealthcare.org/",
            "affiliation": "N",
            "address_1": "9880 Angies Way",
            "address_2": "Suite 250",
            "city": "Louisville",
            "state": "KY",
            "country_code": "US",
            "postal_code": "402412851",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

Verify at the official NPI Registry.