Herman C. Knoll MD Inc

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

063209 Issued in OH

Legal business name

HERMAN C. KNOLL MD INC

Practice address

80 E Woodbury Dr
Suite B
Dayton, OH 45415-2838

Phone

(937) 278-2303

Fax

(937) 278-2662

NPI assigned

Feb 1, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Herman C Knoll, M.D.

Title

President

Phone

(937) 278-2303

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1170288000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1366589715",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "80 E WOODBURY DR",
            "address_2": "SUITE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152838",
            "telephone_number": "937-278-2303",
            "fax_number": "937-278-2662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 E WOODBURY DR",
            "address_2": "SUITE B",
            "city": "DAYTON",
            "state": "OH",
            "postal_code": "454152838",
            "telephone_number": "937-278-2303",
            "fax_number": "937-278-2662"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HERMAN C. KNOLL MD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "KNOLL",
        "authorized_official_first_name": "HERMAN",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "937-278-2303",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "OH",
            "license": "063209",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0980783",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Marylynn Broderick Herchline, MD
• Thomas Herchline, MD
• Here 4 U Staffing LLC
• Charles Kirby Heritage, M.D.
• Clare Rita Herlihy, MD
• Christi Lee Herman
• David M Herman, DC, CCSP, CCEP
• Dianne F Herman, LSW
• Kacey Herman
• Michael Andrew Herman, DDS

• Internal Medicine Physician in Dayton, OH
• Providers in Dayton, OH by specialty
• Internal Medicine Physician in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.