Active NPI
John A Hersman, MD
- Hematology & Oncology Physician
- Renton, WA
National Provider Identifier
1548282353
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hematology & Oncology Physician
- License
- MD00013416
- Practice address
- 3915 Talbot Rd S
Suite 300
Renton, WA 98055-5738 - Phone
- (425) 656-5570
- Fax
- (425) 656-5280
- NPI assigned
- Jul 24, 2006
- Last updated
- Apr 12, 2011
- 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 |
|---|---|---|---|---|
| Hematology & Oncology Physician | 207RH0003X | MD00013416 | WA | Primary |
Addresses
Primary practice location
3915 Talbot Rd S
Suite 300
Renton, WA 98055-5738
Mailing address
PO Box 34876
Seattle, WA 98124-1876
Phone (425) 656-5412
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 |
|---|---|---|---|
| MD00013416 | WA | MD | Hematology & Oncology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302566400000",
"number": "1548282353",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34876",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241876",
"telephone_number": "425-656-5412",
"fax_number": "425-656-4096"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3915 TALBOT RD S",
"address_2": "SUITE 300",
"city": "RENTON",
"state": "WA",
"postal_code": "980555738",
"telephone_number": "425-656-5570",
"fax_number": "425-656-5280"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERSMAN",
"first_name": "JOHN",
"middle_name": "A",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2011-04-12",
"status": "A"
},
"taxonomies": [
{
"code": "207RH0003X",
"taxonomy_group": "",
"desc": "Internal Medicine, Hematology & Oncology",
"state": "WA",
"license": "MD00013416",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Renton, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.