Individual provider Active NPI

David Herrmann, DO

  • Family Medicine Physician
  • Sand Springs, OK
National Provider Identifier
1629565627
Registry record updated Aug 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
6670 Issued in OK
Practice address
402 W Morrow Rd
Sand Springs, OK 74063-6549
Phone
(918) 245-1328
Fax
(918) 403-6313
NPI assigned
Apr 16, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 6670 OK Primary

Addresses

Primary practice location

402 W Morrow Rd
Sand Springs, OK 74063-6549

Mailing address

402 W Morrow Rd
Sand Springs, OK 74063-6549
Phone (918) 245-1328

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190919002747 OK Practitioner - Family Practice 6800126764 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Omni Medical Group IncGroup PAC ID 9739080490, 82 clinicians

Practice addresses (Care Compare)

1923 S Utica Ave
Tulsa, OK 74104-6520
Phone (918) 744-2967

402 W Morrow Rd
Sand Springs, OK 74063-6549
Phone (918) 245-1328

Hospital & facility affiliations

  • Ascension at Home - Tulsa Home health agency, Tulsa, OK, CCN 377073
  • Ascension St John Sapulpa Hospital, Sapulpa, OK, CCN 371312
  • Ascension St John Medical Center Hospital, Tulsa, OK, CCN 370114

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
6670OKMDCounselor

Practice roles

OrganizationSpecialtyStatusNew patients
St. John Physicians, Inc CurrentSince Jul 30, 2019 Accepting new patients
Omni Medical Group Inc Family Medicine CurrentSince Aug 30, 2021 Accepting new patients
St. John Physicians, Inc. Family Medicine CurrentSince Jul 30, 2019 Accepting new patients
St John Medical Center Inc Past Accepting new patients
St John Urgent Care Clinics Inc Past Accepting new patients
St John Sapulpa, Inc. Past Accepting new patients

Locations

402 W Morrow Rd
Sand Springs, OK 74063
Phone (918) 245-1328

402 W Morrow Rd
Ste 100
Sand Springs, OK 74063
Phone (918) 245-1328

1923 S Utica Ave
Tulsa, OK 74104
Phone (918) 744-2345

7501 Riverside Pkwy
Tulsa, OK 74136
Phone (918) 710-4200

1705 E 19th St
Ste 302
Tulsa, OK 74104
Phone (918) 748-7585

Organizations & group practices 6

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.

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1523836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628208000000",
    "number": "1629565627",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "402 W MORROW RD",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636549",
            "telephone_number": "918-245-1328",
            "fax_number": "918-403-6313"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "402 W MORROW RD",
            "city": "SAND SPRINGS",
            "state": "OK",
            "postal_code": "740636549",
            "telephone_number": "918-245-1328",
            "fax_number": "918-403-6313"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERRMANN",
        "first_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-04-16",
        "last_updated": "2021-08-06",
        "certification_date": "2021-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "OK",
            "license": "6670",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sand Springs, OK

Sources for this page

Verify at the official NPI Registry.