Active NPI
Theodore Saul Herman, M.D.
- Nephrology Physician
- Amherst, NY
National Provider Identifier
1437275088
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 107582
- Practice address
- 140 Four Seasons Rd E
Amherst, NY 14226-4276 - Phone
- (716) 834-0571
- Fax
- (716) 834-0571
- NPI assigned
- Mar 22, 2007
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 107582 | NY | Primary |
Addresses
Primary practice location
140 Four Seasons Rd E
Amherst, NY 14226-4276
Mailing address
140 Four Seasons Rd E
Amherst, NY 14226-4276
Phone (716) 834-0571
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 107582 | NY | MD | Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174521600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1437275088",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 FOUR SEASONS RD E",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264276",
"telephone_number": "716-834-0571",
"fax_number": "716-834-0571"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 FOUR SEASONS RD E",
"city": "AMHERST",
"state": "NY",
"postal_code": "142264276",
"telephone_number": "716-834-0571",
"fax_number": "716-834-0571"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "THEODORE",
"middle_name": "SAUL",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-03-22",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NY",
"license": "107582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Amherst, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.