Individual provider Active NPI

William Joseph Hermann Jr., MD

  • Anatomic Pathology & Clinical Pathology Physician
  • Houston, TX
National Provider Identifier
1700849155
Registry record updated Dec 5, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
E9228 Issued in TX
Practice address
921 Gessner
Department of Pathology
Houston, TX 77024
Phone
(713) 242-3000
Fax
(713) 932-3981
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2007

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X E9228 TX Primary
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 4301030945 MI

Addresses

Primary practice location

921 Gessner
Department of Pathology
Houston, TX 77024

Mailing address

PO Box 741169
Houston, TX 77274-1169
Phone (713) 932-3776

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20050111000762 TX Practitioner - Pathology 2668420134 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301030945MIMDAnatomic Pathology & Clinical Pathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Memorial Pathology Consultants, PA Anatomic Pathology & Clinical Pathology CurrentSince May 18, 1990 Accepting new patients
Memorial Pathology Consultants PA Anatomic Pathology & Clinical Pathology Current Accepting new patients
Memorial Pathology Consultants PA Anatomic Pathology & Clinical Pathology CurrentSince May 18, 1990 Accepting new patients
Pathology Affillates of Houston PLLC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

921 Gessner Rd
Houston, TX 77024
Phone (713) 242-3439

7600 Beechnut St
Fl 2
Houston, TX 77074
Phone (713) 456-5000

6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196812800000",
    "number": "1700849155",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 741169",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "772741169",
            "telephone_number": "713-932-3776",
            "fax_number": "713-932-3981"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "921 GESSNER",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "77024",
            "telephone_number": "713-242-3000",
            "fax_number": "713-932-3981"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERMANN",
        "first_name": "WILLIAM",
        "middle_name": "JOSEPH",
        "name_suffix": "Jr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2007-12-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "TX",
            "license": "E9228",
            "primary": true
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "MI",
            "license": "4301030945",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

Verify at the official NPI Registry.