Active NPI
Thaddeus Herman, CRNA
- Certified Registered Nurse Anesthetist
- Indianapolis, IN
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Certified Registered Nurse Anesthetist
- License
- 28155396A
- Practice address
- 1402 E County Line Rd
Indianapolis, IN 46227-0963 - Phone
- (317) 887-7957
- NPI assigned
- May 16, 2006
- Last updated
- Jun 5, 2024
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Certified Registered Nurse Anesthetist | 367500000X | 28155396 | IN | |
| Certified Registered Nurse Anesthetist | 367500000X | APRN.CRNA.019435 | OH | |
| Certified Registered Nurse Anesthetist | 367500000X | 28155396A | IN | Primary |
Addresses
Primary practice location
1402 E County Line Rd
Indianapolis, IN 46227-0963
Mailing address
6626 E 75TH St Ste 500
Indianapolis, IN 46250-2890
Phone (317) 621-7547
Other practice location 1
968 Paradrome St Apt A
Cincinnati, OH 45202-6038
Phone (574) 596-9686
Other practice location 2
6225 State Hwy 161 Ste 200
Irving, TX 75038-2241
Phone (214) 687-0001
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 200431170 | Medicaid | IN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in IN, OH
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Certified Registered Nurse Anesthetist (Crna)
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10500 Montgomery Rd
Montgomery, OH 45242-4402
Phone (513) 865-1111
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28155396 | IN | MD | Certified Registered Nurse Anesthetist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cgi Anesthesia Associates LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Anesthesia Associates of Cincinnati, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Northstar Anesthesia of Ohio LLC | Current | Accepting new patients | |
| Anesthesia Group Practice, Inc | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Associated Anesthesiologists of Fort Wayne PC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Southwest Ohio Anesthesia Consultants LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Hancock Physician Network, LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Great Lakes Anesthesia, P.C. | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Ogi Anesthesia, LLC | Nurse Anesthetist, Certified Registered | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Tri State Urologic Services PSC Inc | Past | Accepting new patients |
Locations
5819 Reliable Pkwy
Chicago, IL 60686
1316 E 7th St
Auburn, IN 46706
Phone (260) 925-4600
1004 Parkway Ave
Ste A
Elkhart, IN 46516
Phone (800) 966-7841
500 N Nappanee St
Ste 11B
Elkhart, IN 46514
10315 Dawsons Creek Blvd
Ste Ab
Fort Wayne, IN 46825
Phone (219) 436-7875
801 N State St
Ste 2000
Greenfield, IN 46140
Phone (317) 325-2727
6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547
7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444
441 N Wabash Ave
Marion, IN 46952
Phone (219) 482-4577
1402 E County Line Rd
Southport, IN 46227
Phone (317) 887-7000
3000 Hospital Dr
Batavia, OH 45103
Phone (513) 557-3209
11333 Cornell Park Dr
Ste 100
Blue Ash, OH 45242
Phone (513) 569-1355
2139 Auburn Ave
Cincinnati, OH 45219
Phone (513) 585-0406
2925 Vernon Pl
Ste 101
Cincinnati, OH 45219
Phone (513) 872-4541
4746 Montgomery Rd
Cincinnati, OH 45212
Phone (513) 731-5600
7500 State Rd
Cincinnati, OH 45255
Phone (513) 624-4034
7661 Beechmont Ave
Cincinnati, OH 45255
Phone (513) 233-4900
600 N Pickaway St
Circleville, OH 43113
Phone (614) 352-6479
7360 Liberty One Dr
Ste 332
Liberty Township, OH 45044
10500 Montgomery Rd
Montgomery, OH 45242
Phone (513) 557-3206
4746 Montgomery Rd
Ste 100
Norwood, OH 45212
Phone (513) 569-1310
2610 N Limestone St
Springfield, OH 45503
Phone (614) 352-6479
2615 E High St
Springfield, OH 45505
Phone (888) 861-3994
6225 State Highway 161
Ste 200
Irving, TX 75038
Phone (214) 687-0496
Interoperability endpoints
- therman618357@ecommunitydirect.com
Organizations & group practices 13
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.
-
- Anesthesiology Physician
- Montgomery, OH
- NPI 1417951948
Nurse Anesthetist, Certified Registered
-
dba Midwest Anesthesia Associates
- Anesthesiology Physician
- Fort Wayne, IN
- NPI 1538159140
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Anesthesiology Physician
- Elkhart, IN
- NPI 1720039977
Nurse Anesthetist, Certified Registered
-
- Family Medicine Physician
- Greenfield, IN
- NPI 1609806470
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1316945173
Nurse Anesthetist, Certified Registered
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1174914352
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Springfield, OH
- NPI 1417276429
-
- Certified Registered Nurse Anesthetist
- Cincinnati, OH
- NPI 1962776807
Nurse Anesthetist, Certified Registered
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1588645188
Nurse Anesthetist, Certified Registered
-
dba Community Physician Network
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Anesthesiology Physician
- Cincinnati, OH
- NPI 1255768107
Nurse Anesthetist, Certified Registered
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Cincinnati, OH
- NPI 1396714663
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147737600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1717545600000",
"number": "1952353294",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6626 E 75TH ST STE 500",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462502890",
"telephone_number": "317-621-7547"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 E COUNTY LINE RD",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462270963",
"telephone_number": "317-887-7957"
}
],
"practiceLocations": [
{
"address_1": "968 Paradrome St Apt A",
"address_purpose": "LOCATION",
"city": "Cincinnati",
"state": "OH",
"postal_code": "452026038",
"country_code": "US",
"telephone_number": "574-596-9686",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "6225 State Hwy 161 Ste 200",
"address_purpose": "LOCATION",
"city": "Irving",
"state": "TX",
"postal_code": "750382241",
"country_code": "US",
"telephone_number": "214-687-0001",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HERMAN",
"first_name": "THADDEUS",
"credential": "CRNA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-16",
"last_updated": "2024-06-05",
"certification_date": "2024-06-05",
"status": "A"
},
"taxonomies": [
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28155396",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "OH",
"license": "APRN.CRNA.019435",
"primary": false
},
{
"code": "367500000X",
"taxonomy_group": "",
"desc": "Nurse Anesthetist, Certified Registered",
"state": "IN",
"license": "28155396A",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "200431170",
"state": "IN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.