JEFFREY S HERMAN (NPI# 1689666497) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1689666497 |
| Entity Type | Individual |
| Full Name | JEFFREY S HERMAN |
| Credential | MD |
| Practice Address |
550 Osborne Rd Ne Unity Radiation Therapy Ctr Fridley MN 55432-2718 |
| Mailing Address |
6950 France Ave S Mpls Radiation Oncology Edina MN 55435-2025 |
| Practice Telephone | 7637841182 |
| Practice Fax Number | 7637841637 |
| Mailing Telephone | 9529204915 |
| Mailing Fax Number | 9529156091 |
| Enumeration Date | 2005-08-17 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | X |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2085R0001X |
Radiology Specialization: Radiation Oncology |
35203 | MN | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MN | UCARE | 104838 | 01 |
| MN | PREFERRED ONE | 963070250011 | 01 |
| MN | AMERICA'S PPO | 25133 | 01 |
| WI | 32077400 | 05 | |
| MN | CHOICE PLUS | 110584 | 01 |
| MN | MEDICA | 2424221 | 01 |
| MN | MEDICA PRIMARY | 2400004 | 01 |
| MN | BLUE CROSS/BLUE SHIELD | 2D631HE | 01 |
| MN | HEALTH PARTNERS | HP13510 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285835389 | Jeffrey Alan Herman | Psychiatry & Neurology | 506 Lakeside Drive, Southampton, PA 18966 | 2007-05-29 |
| 1861414617 | Jeffrey John Herman | Dentist | 1139 Burnt Tavern Rd, Brick, NJ 08724-1472 | 2006-07-24 |
| 1659338234 | Jeffrey P Herman | Pediatrics | 100 Perrine Rd, Old Bridge, NJ 08857 | 2006-04-27 |
| 1942695481 | Jeffrey Herman | Counselor | 504 Lakeland Rd, Shawano, WI 54166-3836 | 2015-04-01 |
| 1770702912 | Jeffrey A Herman | Registered Nurse | 12 Union St, Rockland, ME 04841-2739 | 2007-04-25 |
| 1043358286 | Jeffrey Herman | Emergency Medicine | 1851 Sam Rittenberg Blvd, Charleston, SC 29407-4861 | 2007-02-01 |
| 1770641045 | Jeffrey Alan Herman | Dentist | 1228 Ne 7th St, Grants Pass, OR 97526-1445 | 2006-12-05 |
| 1992807358 | Jeffrey S Herman | Internal Medicine | 1435 N Milford Rd, Ste 101, Milford, MI 48381-1032 | 2006-09-05 |
| 1952321986 | Jeffrey Herman | Radiology | 4000 Wellness Dr, Midland, MI 48670-0001 | 2006-07-20 |
| 1558387399 | Jeffrey Herman | Speech-Language Pathologist | 4401 E Colonial Dr, Suite 107, Orlando, FL 32803-5200 | 2006-07-14 |
| Street Address |
550 OSBORNE RD NE UNITY RADIATION THERAPY CTR |
| City | FRIDLEY |
| State | MN |
| Zip Code | 55432-2718 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982231189 | Sylvia Lirazan | Physical Medicine & Rehabilitation | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2020-03-26 |
| 1487206926 | Marie Granquist | Physical Therapy Assistant | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1003468539 | Laura Jeanne Houfek | Occupational Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-15 |
| 1497307235 | Shaun Michael Sperr | Physical Therapist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-07-11 |
| 1285192252 | Chamaera Sowell | Social Worker | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-03-07 |
| 1932665858 | Amy Kirsten Maynard | Registered Nurse | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-15 |
| 1225593825 | Shannon Thomas Woulfe | Psychologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2019-02-07 |
| 1578031779 | Caroline Betty Muthuri | Nurse Practitioner | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-11-06 |
| 1841783131 | Symphony Michelle Moser | Speech-Language Pathologist | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-06-11 |
| 1861989204 | Bethany Peterson | Physical Therapy Assistant | 550 Osborne Rd Ne, Fridley, MN 55432-2718 | 2018-04-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336791177 | Adelyn Ruth Kopp | Occupational Therapist | 500 Osborne Rd Ne Suite 365, Fridley, MN 55432 | 2019-07-11 |
| 1831665603 | White Smiles Family Dentistry Pllc | Dentist | 1611 County Hwy 10, Minneapolis, MN 55432 | 2018-10-19 |
| 1518402213 | Peaceful Adult Day Center LLC. | Home Health | 6267 University Ave Ne, Fridley, MN 55432 | 2017-01-04 |
| 1205383742 | Farhiya Mahamud Gelle I | Durable Medical Equipment & Medical Supplies | 6329 5th Street Ne Apt 8, Fridley, MN 55432 | 2016-09-01 |
| 1093163164 | Christiane Schwecke | Specialist/Technologist | 8290 University Ave N, Fridley, MN 55432 | 2016-05-31 |
| 1336551563 | Amy White Mountain | Massage Therapist | 1611 County Hwy 10 Ne, Spring Lake Park, MN 55432 | 2014-05-22 |
| 1942629795 | Shane O'neil | Dermatology | 500 Osborne Rd Ne Ste 330, Fridley, MN 55432 | 2014-04-09 |
| 1952648180 | John Franklyn Marshall | Family Medicine | 480 Osborne Road Ne, Suite 100, Fridley, MN 55432 | 2013-01-08 |
| 1558610519 | Novacare Outpatient Rehabilitation East Inc | Clinic/Center | 480 Osborne Road, Number 280, Fridley, MN 55432 | 2012-09-06 |
| 1336423391 | Christian Restoration Services | Counselor | 7157 Commerce Circle W, Fridley, MN 55432 | 2011-10-07 |
| Find all providers in zip 55432 | ||||
| Taxonomy Code | 2085R0001X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Radiology |
| Specialization | Radiation Oncology |
| A radiologist who deals with the therapeutic applications of radiant energy and its modifiers and the study and management of disease, especially malignant tumors. |
| 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 Osteopathic Board of Radiology, 2007. http://www.osteopathic.org/certification |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669031423 | Kai Jiang | Radiology | 617 4th St Sw Apt 3, Rochester, MN 55902-3286 | 2019-06-06 |
| 1508205311 | Somu Suppiah | Radiology | 6500 Excelsior Blvd Dept Of, St Louis Park, MN 55426 | 2013-06-14 |
| 1063858769 | Sumit Sean Sood | Radiology | 5160 Fairview Blvd Ste 1100, Wyoming, MN 55092-8050 | 2013-05-21 |
| 1831535863 | Megan Gentry Hodges | Radiology | 1900 Centracare Circle #1600, Centracare Clinic Health Plaza Radiology/oncology, St Cloud, MN 56303-5000 | 2013-05-16 |
| 1679838403 | Richard Lee | Radiology | 701 Park Ave # G1, Minneapolis, MN 55415-1623 | 2012-07-09 |
| 1396909404 | James Lee Ecker | Radiology | 10448 Vera Cruz Dr N, Brooklyn Park, MN 55443-2555 | 2008-07-17 |
| 1275627820 | Xin Wang | Radiology | The Center for Prostate Cancer, 420 Delaware Street Se, Mayo Building, Fourth Floor, Minneapolis, MN 55455 | 2006-10-03 |
| 1295759009 | Gregory Evan Meyers | Radiology | 6950 France Ave S Ste 200, Edina, MN 55435-2025 | 2006-07-26 |
| 1770526188 | Nathan Earl Hilton | Radiology | 215 Ivy St, Brainerd, MN 56401-3000 | 2006-06-14 |
| 1124082136 | Janel A Cox | Radiology | 631 Goodrich Ave, Saint Paul, MN 55105-3522 | 2006-04-14 |
| Find all providers with the same taxonomy | ||||
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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.