Active NPI
Cynthia Deal Hermann, MD
- Family Medicine Physician
- Denton, TX
National Provider Identifier
1679681514
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- N9454
- Practice address
- 1800 W Chestnut St
Denton, TX 76201 - Phone
- (940) 565-2333
- Fax
- (940) 565-4559
- NPI assigned
- Aug 29, 2006
- Last updated
- Mar 18, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 01062406A | IN | |
| Family Medicine Physician | 207Q00000X | N9454 | TX | Primary |
Addresses
Primary practice location
1800 W Chestnut St
Denton, TX 76201
Mailing address
1155 Union Cir # 311247
Denton, TX 76203-5017
Phone (940) 565-2771
Other practice location 1
1407 Spring St
Suite 2
Jeffersonville, IN 47130-3748
Phone (812) 288-9646
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200823000A | Medicaid | IN |
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 |
|---|---|---|---|
| N9454 | TX | MD | Family Medicine Physician |
| 01062406A | IN | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Eye Associates of Southern Indiana PC | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Durable Medical Equipment & Medical Supplies
- New Albany, IN
- NPI 1083607592
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1584489600000",
"number": "1679681514",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1155 UNION CIR # 311247",
"city": "DENTON",
"state": "TX",
"postal_code": "762035017",
"telephone_number": "940-565-2771",
"fax_number": "940-369-4559"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1800 W CHESTNUT ST",
"city": "DENTON",
"state": "TX",
"postal_code": "76201",
"telephone_number": "940-565-2333",
"fax_number": "940-565-4559"
}
],
"practiceLocations": [
{
"address_1": "1407 Spring St",
"address_2": "Suite 2",
"address_purpose": "LOCATION",
"city": "Jeffersonville",
"state": "IN",
"postal_code": "471303748",
"country_code": "US",
"telephone_number": "812-288-9646",
"fax_number": "812-283-8391",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMANN",
"first_name": "CYNTHIA",
"middle_name": "DEAL",
"name_prefix": "Mrs.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-29",
"last_updated": "2020-03-18",
"certification_date": "2020-03-18",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "IN",
"license": "01062406A",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "N9454",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200823000A",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Denton, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.