DR. KORT HERMAN (NPI# 1356502256) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356502256 |
| Entity Type | Individual |
| Full Name | DR. KORT HERMAN |
| Credential | DMD |
| Practice Address |
4971 S State Rte 159 Maryville IL 62062 |
| Practice Telephone | 6182886699 |
| Mailing Telephone | 6182886699 |
| Enumeration Date | 2008-06-23 |
| Last Update Date | 2008-06-23 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 122300000X | Dentist | 0190276771 | IL | Dental Providers |
| Street Address |
4971 S STATE RTE 159 |
| City | MARYVILLE |
| State | IL |
| Zip Code | 62062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1669674370 | Andrew English | Dentist | 4971 S State Rte 159, Maryville, IL 62062 | 2007-06-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104325091 | Jennifer M Oyler | Physician Assistant | 6812 State Route 162 Suite 120, Maryville, IL 62062 | 2018-02-06 |
| 1710495965 | Sarah Elizabeth Barto | Family Medicine | 2133 Vadalabene Drive, Suite Sb, Maryville, IL 62062 | 2018-01-22 |
| 1104348085 | Lindsey Nicole Langendorf | Chiropractor | 62 Executive Plaza Ct, Maryville, IL 62062 | 2017-07-12 |
| 1043750540 | Gina Saal | Nurse Anesthetist, Certified Registered | 6800 Rt 162, Maryville, IL 62062 | 2017-03-02 |
| 1548657737 | Karen Michelle Bertels | Emergency Medicine | 6800 Il - 162, Maryville, IL 62062 | 2015-04-25 |
| 1811258148 | Debra Ann Hoelscher | Internal Medicine | 2102 Vadalabene, Maryville, IL 62062 | 2012-06-04 |
| 1538438445 | Casey Elizabeth Wiesemeyer | Speech-Language Pathologist | 2201 Copper Creek Rd, Maryville, IL 62062 | 2011-12-21 |
| 1407144819 | Norah Claire Farley Baker | Family Medicine | 10 Professional Park Dr., Maryville, IL 62062 | 2011-07-19 |
| 1891092474 | Kimberly M Schneider | Physician Assistant | 20b Professional Park Drive, Maryville, IL 62062 | 2011-02-17 |
| 1669782397 | Purandhri Patel | Physical Therapist | 6820 State Route 162, Maryville, IL 62062 | 2010-10-15 |
| Find all providers in zip 62062 | ||||
| Taxonomy Code | 122300000X |
| Grouping | Dental Providers |
| Classification | Dentist |
| A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457734113 | Nathaniel Gray Heinsohn | Dentist | 201 E Broadway Ave, #101, Maryville, TN 37804-5741 | 2015-06-30 |
| 1144634114 | James Muscari | Dentist | 824 W. Lamar Alexander Pkwy, Maryville, TN 37801 | 2014-06-17 |
| 1730462458 | Blue Ridge Family Dentistry Dpc | Dentist | 824 W Lamar Alexander Pkwy, Maryville, TN 37801-4578 | 2011-09-20 |
| 1639405731 | Maryville Family Dental | Dentist | 2921 North Center Street, Suite 8-9, Maryville, IL 62062 | 2009-10-23 |
| 1376773879 | Sarah B Shanks | Dentist | 904 W Broadway Ave, Maryville, TN 37801-4637 | 2009-07-17 |
| 1558533844 | Mark D Evans Dds | Dentist | 315 Lamar Street, Maryville, TN 37804-5848 | 2008-03-27 |
| 1194923649 | Erin Cummins Giacomini | Dentist | 1401 Montvale Station Rd, Maryville, TN 37803-5815 | 2007-07-06 |
| 1669674370 | Andrew English | Dentist | 4971 S State Rte 159, Maryville, IL 62062 | 2007-06-04 |
| 1831303684 | Michael Earnest Konrad | Dentist | 1123 E Lamar Alexander Pkwy, Maryville, TN 37804-5130 | 2007-05-10 |
| 1902922826 | William F. Drake | Dentist | 406 S Washington St, Maryville, TN 37804-5801 | 2007-03-22 |
| Find all providers in MARYVILLE | ||||
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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.