Organization Active NPI

William J Herrmann MD PC

  • Obstetrics & Gynecology Physician
  • Globe, AZ
National Provider Identifier
1861692154
Registry record updated Nov 13, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
18619 Issued in AZ
Legal business name
WILLIAM J HERRMANN MD PC
Practice address
5882 S Hospital Dr
Suite 1
Globe, AZ 85501
Phone
(928) 425-2474
Fax
(928) 425-2383
NPI assigned
Jul 24, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2007

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

Authorized official

Name
William J Herrmann, MD
Title
Medical Doctor
Phone
(928) 425-2474

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207V00000X 18619 AZ Primary

Addresses

Primary practice location

5882 S Hospital Dr
Suite 1
Globe, AZ 85501

Mailing address

PO Box 3955
Cottonwood, AZ 86326-2610
Phone (928) 639-2090

Other identifiers 3

IdentifierTypeStateIssuer
288458OtherAZAHCCCS
0001OtherAZEMC ID
03D104165OtherAZCLIA LAB

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1185235200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1194912000000",
    "number": "1861692154",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3955",
            "city": "COTTONWOOD",
            "state": "AZ",
            "postal_code": "863262610",
            "telephone_number": "928-639-2090",
            "fax_number": "928-639-0167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5882 S HOSPITAL DR",
            "address_2": "SUITE 1",
            "city": "GLOBE",
            "state": "AZ",
            "postal_code": "85501",
            "telephone_number": "928-425-2474",
            "fax_number": "928-425-2383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILLIAM J HERRMANN MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-24",
        "last_updated": "2007-11-13",
        "status": "A",
        "authorized_official_last_name": "HERRMANN",
        "authorized_official_first_name": "WILLIAM",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "928-425-2474",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "AZ",
            "license": "18619",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AHCCCS",
            "identifier": "288458",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "EMC ID",
            "identifier": "0001",
            "state": "AZ"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CLIA LAB",
            "identifier": "03D104165",
            "state": "AZ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Globe, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 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.