Individual provider Active NPI

Edwin M. Herman, M.D.

  • Specialist
  • Kansas City, MO
National Provider Identifier
1689654196
Registry record updated Aug 26, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
30186 Issued in MO
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

Updated by the provider on Aug 26, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
CI3618OtherMORAILROAD MEDICARE- GROUP
CI2562OtherKSRAILROAD MEDICARE- GROUP
3230760AOtherMORAILROAD MEDICARE- INDIV
3230760BOtherKSRAILROAD 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

LicenseStateTypeSpecialty
30186MOMDSpecialist

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.

Verify at the official NPI Registry.