EDWARD P. HERMAN (NPI# 1578518957) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578518957 |
| Entity Type | Individual |
| Full Name | EDWARD P. HERMAN |
| Credential | M.D. |
| Practice Address |
77 W Forest Ave Suite 101 Flagstaff AZ 86001-1482 |
| Mailing Address |
Dept 2018 Po Box 29675 Phoenix AZ 85038-9675 |
| Practice Telephone | 9287732515 |
| Practice Fax Number | 9287732240 |
| Enumeration Date | 2006-05-23 |
| Last Update Date | 2011-04-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0202X |
Radiology Specialization: Diagnostic Radiology |
15284 | AZ | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AZ | 266214 | 05 | |
| AZ | BCBS | AZ0048350 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003278755 | Edward Charles Herman | Social Worker | 50 Se Bluff Loop Rd., Shelton, WA 98584 | 2016-03-22 |
| 1154456283 | Edward C Herman | Dentist | 111 W Johnstown Rd, Suite A, Gahanna, OH 43230-2714 | 2007-02-22 |
| 1053386904 | Edward Richard Herman | Psychiatry & Neurology | 140 Old Orangeburg Rd, Orangeburg, NY 10962-1157 | 2006-02-22 |
| 1639661853 | Edward Herman | Social Worker | 4895 Dressler Rd Nw, Canton, OH 44718-2571 | 2018-06-04 |
| 1144752338 | Edward Isaac Herman | Student in an Organized Health Care Education/Training Program | 2800 Main St, Bridgeport, CT 06606-4201 | 2017-03-28 |
| 1174592364 | Edward Lee Herman | Psychiatry & Neurology | 43996 Woodward Ave, Suite 210, Bloomfield Hills, MI 48302-5027 | 2006-03-17 |
| Street Address |
77 W FOREST AVE SUITE 101 |
| City | FLAGSTAFF |
| State | AZ |
| Zip Code | 86001-1482 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235133059 | Gretchen Karr Schaber | Nurse Practitioner | 77 W Forest Ave, Ste 302, Flagstaff, AZ 86001-1481 | 2005-06-09 |
| 1740728088 | Susan Dale Wall | Social Worker | 77 W Forest Ave, Suite 202, Flagstaff, AZ 86001-1479 | 2017-02-07 |
| 1326408527 | Taye Nelson | Nurse Practitioner | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2016-03-01 |
| 1639564453 | Mary Elizabeth Smith Iles | Pediatrics | 77 W Forest Ave, Flagstaff, AZ 86001 | 2015-03-30 |
| 1174914915 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2015-02-16 |
| 1699182188 | Northern Arizona Healthcare Provider Group, LLC | Internal Medicine | 77 W Forest Ave, Flagstaff, AZ 86001-1479 | 2014-07-16 |
| 1033538533 | Neina Orrillo | Registered Nurse | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001 | 2014-04-11 |
| 1720424997 | Meredith Katz Sena | Specialist | 77 W Forest Ave, Ste 301, Flagstaff, AZ 86001-1479 | 2013-05-15 |
| 1669815825 | Lauren Diane Hayward | Pediatrics | 77 W Forest Ave, Suite 304, Flagstaff, AZ 86001-1479 | 2013-04-08 |
| 1548510019 | Mark Daniel Noorlander | Nurse Anesthetist, Certified Registered | 77 W Forest Ave, Suite 207, Flagstaff, AZ 86001-1479 | 2012-09-12 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427658756 | Marlenne Adair Escobar-mendoza | Specialist/Technologist | 1705 South San Francisco Street, Flagstaff, AZ 86001 | 2020-10-27 |
| 1962033712 | Laura-lee Prescott | Social Worker | Northern Az Va Healthcare System, Flagstaff Cboc, 1300 W. University Ave., Suite 300, Flagstaff, AZ 86001 | 2020-01-30 |
| 1194360784 | Trinity Medical Consultants Pllc | Internal Medicine | 1521 N Cliff Drive, Flagstaff, AZ 86001 | 2019-11-07 |
| 1154849610 | Altacare, LLC | Family Medicine | 2700 S Woodlands Village Blvd Ste 700, Flagstaff, AZ 86001 | 2017-09-05 |
| 1487174926 | Lindsey Marie Forstie | Nurse Practitioner | 7263 E Dreamview Trail, Flagstaff, AZ 86001 | 2017-06-26 |
| 1255860763 | Welbrook Senior Living Flagstaff LLC | Skilled Nursing Facility | 1521 N Pine Cliff Dr, Flagstaff, AZ 86001 | 2017-06-08 |
| 1912432675 | Ryan Tiscareno | Specialist/Technologist | 621 West Cherry Ave, Flagstaff, AZ 86001 | 2017-05-01 |
| 1629432380 | Behavioral Consultation Services, Inc. | Clinic/Center | 345 S. River Run Road, Suite 200, Flagstaff, AZ 86001 | 2016-04-08 |
| 1275920928 | Junli Gallagher | Speech-Language Pathologist | 1215 N. Beaver St, Flagstaff, AZ 86001 | 2015-04-21 |
| 1932592599 | Kristen Flugstad Psyd, LLC | Psychologist | 125 East Elm Avenue #203, Flagstaff, AZ 86001 | 2015-03-06 |
| Find all providers in zip 86001 | ||||
| Taxonomy Code | 2085R0202X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Diagnostic Radiology |
| A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: definition added, source added; 7/1/2011: modified source] - Additional Resources: American Board of Radiology, 2007. http://www.theabr.org/. American Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Radiology. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Radiology. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669794053 | Ian Leroy Musil | Radiology | 77 W Forest Ave Ste 101, Flagstaff, AZ 86001-1482 | 2010-02-25 |
| 1619157609 | Gregg Sydow | Radiology | 4062 S Holland Rd, Flagstaff, AZ 86005-8967 | 2007-11-07 |
| 1477508935 | Jennifer J. Kottra | Radiology | 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 | 2006-05-23 |
| 1831148147 | James T. Friedland | Radiology | 7600 Pine Canyon Dr, Flagstaff, AZ 86004-1266 | 2006-05-06 |
| 1831168426 | Steven B Jones | Radiology | 1153 N Waterside Dr, Flagstaff, AZ 86004-7964 | 2006-03-16 |
| 1366767352 | James Christen Larsen IIi | Radiology | 77 W Forest Ave Ste 101, Flagstaff, AZ 86001-1482 | 2010-04-01 |
| 1386699643 | Michael J. Labenz | Radiology | 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 | 2006-05-24 |
| 1497700579 | Stephen V. Ward | Radiology | 77 W Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 | 2006-05-24 |
| 1134174618 | Paul Hiette | Radiology | 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 | 2006-05-23 |
| 1114972593 | Paul E Sangster | Radiology | 77 W. Forest Avenue, Suite 101, Flagstaff, AZ 86001-1482 | 2006-05-23 |
| Find all providers in FLAGSTAFF | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.