Joseph P Hermosa MD PLLC

Primary specialty

SpecialistTaxonomy code 174400000X

License

L4435 Issued in TX

Legal business name

JOSEPH P HERMOSA MD PLLC

Practice address

7230 Wyoming Springs Dr
Round Rock, TX 78681-4319

Phone

(512) 360-1969

Fax

(512) 240-5026

NPI assigned

Feb 6, 2009

Organization subpart

Yes

Parent organization

JOSEPH P HERMOSA MD PLLCAs reported in NPPES

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

Authorized official

Name

Joseph P Hermosa, MEDICAL DOCTORNPI 1306885124

Title

Owner

Phone

(512) 630-1969

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Joseph P Hermosa MD PLLC

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Joseph P Hermosa, M.D.

  • Internal Medicine Physician
  • Round Rock, TX
  • NPI 1306885124
  Medicare reassignment Authorized official

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

{
    "created_epoch": "1233878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1593907200000",
    "number": "1326287889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402A W PALM VALLEY BLVD # 305",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786644237",
            "telephone_number": "512-360-1969",
            "fax_number": "512-240-5026"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7230 WYOMING SPRINGS DR",
            "city": "ROUND ROCK",
            "state": "TX",
            "postal_code": "786814319",
            "telephone_number": "512-360-1969",
            "fax_number": "512-240-5026"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOSEPH P HERMOSA MD PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JOSEPH P HERMOSA MD PLLC",
        "enumeration_date": "2009-02-06",
        "last_updated": "2020-07-05",
        "certification_date": "2020-07-05",
        "status": "A",
        "authorized_official_last_name": "HERMOSA",
        "authorized_official_first_name": "JOSEPH",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "512-630-1969",
        "authorized_official_credential": "MEDICAL DOCTOR"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "TX",
            "license": "L4435",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "162627701",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "854488",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Michael Cleavon Jones
• Nohemi Jones
• Richard O Jones, MD
• Sterling Jones
• Sinimol Jose
• Anly Joseph, MD
• Reena Joseph, AGPNP
• Patricia Joshua, PMHNP-BC, APRN
• Journey Health & Wellness LLC (True North Psychiatric)
• Ace Jovanovski, D.M.D.

• Specialist in Round Rock, TX
• Providers in Round Rock, TX by specialty
• Specialist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2020; 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.

Verify at the official NPI Registry.