Active NPI
Kenneth A Hermens, M.D.
- Orthopaedic Surgery Physician
- Hillsboro, OR
National Provider Identifier
1861560245
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- MD12217
- Practice address
- 1200 NE 48TH Ave
Ste 1100
Hillsboro, OR 97124-5062 - Phone
- (503) 844-8310
- NPI assigned
- Dec 1, 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | MD12217 | OR | Primary |
Addresses
Primary practice location
1200 NE 48TH Ave
Ste 1100
Hillsboro, OR 97124-5062
Mailing address
1200 NE 48TH Ave
Ste 1100
Hillsboro, OR 97124-5062
Phone (503) 844-8310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 121582 | Medicaid | OR |
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 |
|---|---|---|---|
| 12217 | OR | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hillsboro Orthopaedic Specialists LLP | Orthopaedic Surgery | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Orthopaedic Surgery Physician
- Hillsboro, OR
- NPI 1376611756
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1164931200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389744000000",
"number": "1861560245",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 NE 48TH AVE",
"address_2": "STE 1100",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245062",
"telephone_number": "503-844-8310"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 NE 48TH AVE",
"address_2": "STE 1100",
"city": "HILLSBORO",
"state": "OR",
"postal_code": "971245062",
"telephone_number": "503-844-8310"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HERMENS",
"first_name": "KENNETH",
"middle_name": "A",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-12-01",
"last_updated": "2014-01-15",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "OR",
"license": "MD12217",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "121582",
"state": "OR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Hillsboro, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 15, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.