Stanley Samuel Herr, D.O

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

20A5227 Issued in CA

Practice address

41120 Washington St Ste 101
Bermuda Dunes, CA 92203-9596

Phone

(760) 772-2823

Fax

(760) 772-2819

NPI assigned

Oct 23, 2006

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

Practice roles

Locations

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.

• Herr-Kostic Medical Group Inc.

  • Internal Medicine Physician
  • Bermuda Dunes, CA
  • NPI 1467672345
  NPD
• JFK Memorial Hospital, Inc.

  dba John F. Kennedy Memorial Hospital

  • General Acute Care Hospital
  • Indio, CA
  • NPI 1477584993
  NPD (past)

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

{
    "created_epoch": "1161561600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1841373743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "41120 WASHINGTON ST STE 101",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922039596",
            "telephone_number": "760-772-2823",
            "fax_number": "760-772-2819"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "41120 WASHINGTON ST STE 101",
            "city": "BERMUDA DUNES",
            "state": "CA",
            "postal_code": "922039596",
            "telephone_number": "760-772-2823",
            "fax_number": "760-772-2819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HERR",
        "first_name": "STANLEY",
        "middle_name": "SAMUEL",
        "name_prefix": "Dr.",
        "credential": "D.O",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "CA",
            "license": "20A5227",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Earl Lloyd Glass, PHARM D
• Jill Grako
• Salome R. Gutierrez, PH.D.
• Mohammad Julkernayen Haq
• Herr-Kostic Medical Group Inc.
• Neele Holzenkaempfer, DPT
• Home and Hearth Hub
• Diana Louise Honsa, PT
• Leslie Yareli Humphrey, DPT
• James Mawhiney Physical Therapy Inc

• Internal Medicine Physician in Bermuda Dunes, CA
• Providers in Bermuda Dunes, CA by specialty
• Internal Medicine Physician in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.