Active NPI
Joanne Herrman, MD
- Gynecology Physician
- Fairfax, VA
National Provider Identifier
1275520363
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gynecology Physician
- License
- 0101034076
- Practice address
- 8324 Professional Hill Dr
Fairfax, VA 22031-4611 - Phone
- (703) 573-5600
- Fax
- (703) 573-5665
- NPI assigned
- Oct 4, 2005
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Gynecology Physician | 207VG0400X | 0101034076 | VA | Primary |
Addresses
Primary practice location
8324 Professional Hill Dr
Fairfax, VA 22031-4611
Mailing address
6035 Burke Centre Pkwy
#390
Burke, VA 22015-3750
Phone (703) 978-1196
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120106000544 | DC | Practitioner - Obstetrics/Gynecology | 0648446054 | Practice locations: Fairfax, VA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128384000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1368576000000",
"number": "1275520363",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6035 BURKE CENTRE PKWY",
"address_2": "#390",
"city": "BURKE",
"state": "VA",
"postal_code": "220153750",
"telephone_number": "703-978-1196",
"fax_number": "703-978-7762"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8324 PROFESSIONAL HILL DR",
"city": "FAIRFAX",
"state": "VA",
"postal_code": "220314611",
"telephone_number": "703-573-5600",
"fax_number": "703-573-5665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERRMAN",
"first_name": "JOANNE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2005-10-04",
"last_updated": "2013-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "207VG0400X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology, Gynecology",
"state": "VA",
"license": "0101034076",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, VA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.