Active NPI
Edwin M. Herman, M.D.
- Specialist
- Kansas City, MO
National Provider Identifier
1689654196
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- 30186
- Practice address
- 4801 Main St
Suite 200
Kansas City, MO 64112-2929 - Phone
- (816) 561-5151
- Fax
- (816) 841-0373
- NPI assigned
- Jan 19, 2006
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | 30186 | MO | Primary |
Addresses
Primary practice location
4801 Main St
Suite 200
Kansas City, MO 64112-2929
Mailing address
7101 College Blvd
Suite 1200
Overland Park, KS 66210-1845
Phone (913) 319-8400
Other identifiers 4
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CI3618 | Other | MO | RAILROAD MEDICARE- GROUP |
| CI2562 | Other | KS | RAILROAD MEDICARE- GROUP |
| 3230760A | Other | MO | RAILROAD MEDICARE- INDIV |
| 3230760B | Other | KS | RAILROAD MEDICARE- INDIV |
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 |
|---|---|---|---|
| 30186 | MO | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137628800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377475200000",
"number": "1689654196",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7101 COLLEGE BLVD",
"address_2": "SUITE 1200",
"city": "OVERLAND PARK",
"state": "KS",
"postal_code": "662101845",
"telephone_number": "913-319-8400",
"fax_number": "913-696-0040"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4801 MAIN ST",
"address_2": "SUITE 200",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641122929",
"telephone_number": "816-561-5151",
"fax_number": "816-841-0373"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMAN",
"first_name": "EDWIN",
"middle_name": "M.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-19",
"last_updated": "2013-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "MO",
"license": "30186",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- GROUP",
"identifier": "CI3618",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- GROUP",
"identifier": "CI2562",
"state": "KS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- INDIV",
"identifier": "3230760A",
"state": "MO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE- INDIV",
"identifier": "3230760B",
"state": "KS"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.