Robert Hermann MD

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

Legal business name

ROBERT HERMANN MD

Practice address

4901 108TH St SW
Lakewood, WA 98499-3724

Phone

(253) 589-6573

Fax

(253) 984-1079

NPI assigned

Aug 8, 2017

Organization subpart

No

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

Authorized official

Name

Robert Hermann, MD

Title

Doctor

Phone

(509) 999-1790

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1982129219",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 98886",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984968886",
            "telephone_number": "253-584-3577",
            "fax_number": "253-584-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4901 108TH ST SW",
            "city": "LAKEWOOD",
            "state": "WA",
            "postal_code": "984993724",
            "telephone_number": "253-589-6573",
            "fax_number": "253-984-1079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROBERT HERMANN MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "HERMANN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "509-999-1790",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "MD60620822",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chester Cabanlit Rizon, RN
• Evelyn Rizon
• Daelynn Roach, BA
• Courtnei Robbins
• Michael W. Robbins, PH.D.
• Robert L Kiehl, DDS PS
• Laurice Roberts
• Madisyn Jean Roberts
• Phelicity P Roberts, LMP
• Cheryl Anne Robertson

• Primary Care Clinic/Center in Lakewood, WA
• Providers in Lakewood, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.