Individual provider Active NPI

J.Michael Herr, D.O.

  • Neuromusculoskeletal Medicine & OMM Physician
  • West Hartford, CT
National Provider Identifier
1316995442
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neuromusculoskeletal Medicine & OMM PhysicianTaxonomy code 204D00000X
License
039908 Issued in CT
Practice address
45 S Main St Ste 212
West Hartford, CT 06107-2402
Phone
(860) 236-2515
Fax
(860) 236-2572
NPI assigned
May 4, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 039908 CT Primary
Family Medicine Physician 207Q00000X 039908 CT

Addresses

Primary practice location

45 S Main St Ste 212
West Hartford, CT 06107-2402

Mailing address

45 S Main St Ste 212
West Hartford, CT 06107-2402
Phone (860) 236-2515

Other identifiers 1

IdentifierTypeStateIssuer
80-0090424OtherFEIN

Other names 1

  • James M. Herr Other name

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)
Enrolled
Credentials
Doctor of Osteopathy, Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
715WVMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Chiropractic Care of Windsor LLC PastSince Apr 10, 2011 Accepting new patients
New River Health Association, Inc. Past Accepting new patients
Hartford Physician Services PC Family Medicine Past Accepting new patients

Organizations & group practices 3

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": "1146700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1316995442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST STE 212",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072402",
            "telephone_number": "860-236-2515",
            "fax_number": "860-236-2572"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 S MAIN ST STE 212",
            "city": "WEST HARTFORD",
            "state": "CT",
            "postal_code": "061072402",
            "telephone_number": "860-236-2515",
            "fax_number": "860-236-2572"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "J.MICHAEL",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-05-04",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "CT",
            "license": "039908",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CT",
            "license": "039908",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEIN",
            "identifier": "80-0090424",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "HERR",
            "middle_name": "M.",
            "credential": "D.O.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in West Hartford, CT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.