Craig Robert Hermann, DO
Individual provider Active NPI Family Medicine Physician · Barnhart, MO
NPI 1902396575 · NPPES record last updated Aug 4, 2022
Key facts
- NPI
- 1902396575
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 2022029088 (MO)
- Practice address
- 1717 Catlin Dr
Barnhart, MO 63012-1216 - Phone
- (636) 741-3233
- NPI assigned
- May 18, 2018
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 7
Hospital & facility affiliations 4
Medicare Care Compare profile
- Specialty
- Family Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Mercy Clinic East Communities
Practice addresses (Care Compare)
1717 Catlin Dr
Barnhart, MO 63012-1216
Phone (636) 741-3233
Hospital & facility affiliations
- Mercy Hospital Jefferson
- Mercy Hospital South
- Mercy Hospital St Louis
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220728001107 | MO | Practitioner - Family Practice | 8426307018 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022029088 | MO | MD | Family Medicine Physician |
| 34.014700 | OH | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mercy Clinic East Communities | Single Specialty | Current |
Accepting new patients |
| Mercy Clinic East Communities | Single Specialty | Current | Accepting new patients |
| Mercy Clinic East Communities | Single Specialty | Current |
Accepting new patients |
Locations
1717 Catlin Dr
Barnhart, MO 63012
Phone (636) 741-3233
621 S New Ballas Rd
Ste 189A
Saint Louis, MO 63141
Phone (314) 251-6335
621 S New Ballas Rd
Ste 4017B
Saint Louis, MO 63141
Phone (314) 872-9192
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician |
207Q00000X | 34.014700 | OH | |
| Family Medicine Physician | 207Q00000X | 2022029088 | MO | Yes |
Addresses
Primary practice location
1717 Catlin Dr
Barnhart, MO 63012-1216
Mailing address
1717 Catlin Dr
Barnhart, MO 63012-1216
Phone (636) 741-3233
Other providers in Barnhart, MO
- Daniel Joseph Fischer
- Mark Fox
- Frontier Medical Devices
- Nicole Marie Graul
- Lindsay Hall
- Debra Hine
- Indu B Patel MD PC
- KZ Psychiatric Services LLC
- Donald Willis Mitchell
- Derrick Shawn Nash
All providers in Barnhart, MO · Family Medicine Physician in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 4, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.