Herman L Ferrell, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

036074327 Issued in IL

Practice address

129 N 8TH St
East St Louis, IL 62201-2917

Phone

(618) 482-7242

Fax

(314) 810-1399

NPI assigned

Jun 13, 2005

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• HSHS Holy Family Hospital Inc

  • General Acute Care Hospital
  • Greenville, IL
  • NPI 1205850690
  NPD (past)
• Hospitalmd of Troy Ip, Inc.

  • Hospitalist Physician
  • Troy, MO
  • NPI 1548582778
  NPD (past)
• Physician Groups LC

  • Multi-Specialty Clinic/Center
  • Saint Louis, MO
  • NPI 1285664268

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1256774400000",
    "number": "1437153921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "862 MINARCA DR",
            "city": "DES PERES",
            "state": "MO",
            "postal_code": "631312047",
            "telephone_number": "618-482-7242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "129 N 8TH ST",
            "city": "EAST ST LOUIS",
            "state": "IL",
            "postal_code": "622012917",
            "telephone_number": "618-482-7242",
            "fax_number": "314-810-1399"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERRELL",
        "first_name": "HERMAN",
        "middle_name": "L",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-13",
        "last_updated": "2009-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036074327",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MO",
            "license": "R7303",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1437153921",
            "state": "MO"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201239043",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Brighter Hope Inc
• C & T Transportation Services Corp
• Call for Help, Inc.
• Children's Home & Aid Society of Illinois (Children's Home (plus) Aid)
• Curators of the University of Missouri (Center for Eye Care)
• Bruce Jones, D.O.
• Julie Murphy, MA
• Jose Ramon, M.D.
• Muddasani V Reddy, M.D.
• Southern Illinois Healthcare Foundation, Inc (Windsor Health Center)

• Internal Medicine Physician in East St Louis, IL
• Providers in East St Louis, IL by specialty
• Internal Medicine Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2009; 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.