Active NPI
George A Herman, M.D.
- Family Medicine Physician
- Wapakoneta, OH
National Provider Identifier
1497745137
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35053179
- Practice address
- 1007 W Auglaize St
Wapakoneta, OH 45895-1351 - Phone
- (419) 738-9601
- Fax
- (419) 941-1368
- NPI assigned
- Oct 25, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35053179 | OH | Primary |
Addresses
Primary practice location
1007 W Auglaize St
Wapakoneta, OH 45895-1351
Mailing address
PO Box 359
Wapakoneta, OH 45895-0359
Phone (419) 738-9601
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0653556 | Medicaid | OH | |
| 1497745137 | Other | OH | NPI |
| 080019718 | Other | OH | MEDICARE RAILROAD |
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35053179 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lima Memorial Joint Operating Company | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- General Acute Care Hospital
- Lima, OH
- NPI 1336144732
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1258934400000",
"number": "1497745137",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 359",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458950359",
"telephone_number": "419-738-9601",
"fax_number": "419-941-1368"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 W AUGLAIZE ST",
"city": "WAPAKONETA",
"state": "OH",
"postal_code": "458951351",
"telephone_number": "419-738-9601",
"fax_number": "419-941-1368"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "GEORGE",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-25",
"last_updated": "2009-11-23",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "OH",
"license": "35053179",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0653556",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI",
"identifier": "1497745137",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "080019718",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wapakoneta, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 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.