Glenn E Herrmann MDPC

Primary specialty

Plastic Surgery PhysicianTaxonomy code 208200000X

License

44716 Issued in CO

Legal business name

GLENN E HERRMANN MDPC

Practice address

130 Old Laramie TRL
Lafayette, CO 80026-7014

Phone

(303) 664-9400

Fax

(303) 665-1013

NPI assigned

Jul 1, 2008

Organization subpart

No

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

Authorized official

Name

Glenn E Herrmann, MDNPI 1629085196

Title

Owner

Phone

(303) 664-9400

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in CO

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Glenn Eric Herrmann, M.D.

  • Plastic and Reconstructive Surgery Physician
  • Lafayette, CO
  • NPI 1629085196

  Plastic Surgery

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1214870400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605744000000",
    "number": "1811159676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 OLD LARAMIE TRL",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267014",
            "telephone_number": "303-664-9400",
            "fax_number": "303-665-1013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "130 OLD LARAMIE TRL",
            "city": "LAFAYETTE",
            "state": "CO",
            "postal_code": "800267014",
            "telephone_number": "303-664-9400",
            "fax_number": "303-665-1013"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3464 S Willow St",
            "address_2": "141",
            "address_purpose": "LOCATION",
            "city": "Denver",
            "state": "CO",
            "postal_code": "802314531",
            "country_code": "US",
            "telephone_number": "303-755-2900",
            "fax_number": "303-755-0404",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "GLENN E HERRMANN MDPC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-07-01",
        "last_updated": "2020-11-19",
        "certification_date": "2020-11-19",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "GLENN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "303-664-9400",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "208200000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Plastic Surgery",
            "state": "CO",
            "license": "44716",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "01256783",
            "state": "CO"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "44716",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Alexi Ginther
• Mario Joseph Giovacchini, MD
• Wendy Giron
• Jeffrey Paul Gius, DDS
• Kerri Lynn Glassner, D.O.
• Greg Glick, PAC
• GM Medical Services LLC
• Kaela Goetz
• Barbara K Goldberg
• Jessica Golembiewski

• Plastic Surgery Physician in Lafayette, CO
• Providers in Lafayette, CO by specialty
• Plastic Surgery Physician in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.