William Joseph Herbert, D.O.
Individual provider Active NPI Family Medicine Physician · Hermitage, PA
NPI 1477533834 · NPPES record last updated Dec 11, 2009
Key facts
- NPI
- 1477533834
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- OS 04150L (PA)
- Practice address
- 3910 E State St
Hermitage, PA 16148-3405 - Phone
- (724) 981-1911
- Fax
- (724) 981-5214
- NPI assigned
- Jan 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OS 04150L | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sharon Regional Physicians Services | Past | Accepting new patients | |
| Sharon Regional Physicians Services | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | OS 04150L | PA | Yes |
Addresses
Primary practice location
3910 E State St
Hermitage, PA 16148-3405
Mailing address
3910 E State St
Hermitage, PA 16148-3405
Phone (724) 981-1911
Other providers in Hermitage, PA
- Helping Hands Home Care Service Inc
- Helping Hands Medical Network, PC
- Dustin D Henegan
- Jon R. Henwood
- Alishia Ann Hepak
- Hermitage 1 LLC
- Hermitage Area School District
- Hermitage Endoscopy Center Inc
- Hermitage Eye & Laser Center
- Hermitage Internal Medicine Group
All providers in Hermitage, PA · Family Medicine Physician in Pennsylvania
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2009. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.