DR. GLENN ERIC HERRMANN


Address: 130 Old Laramie Trl E Bldg 4, Lafayette, CO 80026-7014
Phone: 3036649400

DR. GLENN ERIC HERRMANN (NPI# 1629085196) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1629085196
Entity Type Individual
Full Name DR. GLENN ERIC HERRMANN
Credential M.D.
Practice Address 130 Old Laramie Trl E Bldg 4
Lafayette
CO 80026-7014
Mailing Address Po Box 767
Lafayette
CO 80026-0767
Practice Telephone 3036649400
Practice Fax Number 3036665362
Mailing Telephone 3036649400
Enumeration Date 2006-08-01
Last Update Date 2016-03-29
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 204E00000X Oral & Maxillofacial Surgery 44716 CO Allopathic & Osteopathic Physicians
N 208200000X Plastic Surgery 44716 CO Allopathic & Osteopathic Physicians
N 2082S0099X Plastic Surgery
Specialization: Plastic Surgery Within the Head and Neck
44716 CO Allopathic & Osteopathic Physicians
N 2082S0105X Plastic Surgery
Specialization: Surgery of the Hand
44716 CO Allopathic & Osteopathic Physicians
N 208600000X Surgery 44716 CO Allopathic & Osteopathic Physicians
Y 2086S0122X Surgery
Specialization: Plastic and Reconstructive Surgery
44716 CO Allopathic & Osteopathic Physicians

Other Provider Identifier

State Issuer Identifier Type Code
CO 15035859 05

Office Location

Street Address 130 OLD LARAMIE TRL E BLDG 4
City LAFAYETTE
State CO
Zip Code 80026-7014

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1528671690 Julia Michele Colton Occupational Therapist 110 S. Roosevelt Ave, Lafayette, CO 80026 2020-08-28
1265045900 Amber M. Roter Social Worker 588 N Us-287 Co, Suite 200, Lafayette, CO 80026 2020-08-24
1669008314 Dr. Sunda Friedman Tebockhorst Psychologicl Services, Ltd Clinic/Center 588 N Hwy 287, Suite 200, Lafayette, CO 80026 2020-03-13
1659918910 Emily Nicole Pearson Behavior Technician 961 Sandstone Circle, Lafayette, CO 80026 2019-12-05
1790320612 Gs Campus Asc, LLC Clinic/Center Lafayette Surgery Center, 340 Exempla Circle, Suite #400, Lafayette, CO 80026 2019-11-14
1639711864 Martina Christina Holzach Student in an Organized Health Care Education/Training Program 1455 Dixon Ave, Suite #300, Lafayette, CO 80026 2019-10-09
1104474055 2nd Star Counseling Clinic/Center 260 S. Public Rd, Lafayette, CO 80026 2019-09-03
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1144704883 Nikole J Randolph Nutritionist 2770 Dagny Way Suite 210, Lafayette, CO 80026 2018-09-19
1609388842 Claro Scientific Laboratories Corp Clinical Medical Laboratory 1408 Horizon Ave Ste 101, Lafayette, CO 80026 2017-10-27
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Taxonomy Information

Taxonomy Code 2086S0122X
Grouping Allopathic & Osteopathic Physicians
Classification Surgery
Specialization Plastic and Reconstructive Surgery

Taxonomy Definition

A surgeon who specializes in plastic and reconstructive surgery.
Notes: Source: National Uniform Claim Committee, 2009 [1/1/2010: definition added, source added] Additional Resources: A General Certificate is issued by the American Osteopathic Board of Surgery.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1861595969 Terry A Cromwell Surgery 1101 South College Road, Suite 400, Lafayette, LA 70503 2006-09-06
1669675054 Willcare, LLC Surgery 917 Coolidge Blvd, Lafayette, LA 70503-3061 2007-06-06
1558406025 Plastic Surgery Associates Surgery 1101 South College Road, Suite 400, Lafayette, LA 70503 2007-02-21
1770686875 Louis G Mes Surgery 917 Coolidge Blvd, Lafayette, LA 70503-2433 2006-09-06
1396848396 Darrell L Henderson Surgery 1101 South College Road, Suite 400, Lafayette, LA 70503 2006-09-06
1952404055 Russell C Romero Surgery 1101 South College Road, Suite 400, Lafayette, LA 70503 2006-09-06
1467484246 Barbara L. Persons Surgery 911 Moraga Rd, Suite 205, Lafayette, CA 94549-4500 2006-07-06

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1255970265 Peak Plastic Surgery Center, PC Surgery 4500 E Cherry Creek South Dr Ste 425, Denver, CO 80246-1518 2019-12-23
1790004612 Medvacation LLC Surgery 2340 Curtis Street Unit #3, Denver, CO 80205 2010-05-18
1346421179 John R. Burroughs Md PC Surgery 300 Garden of The Gods, Ste. 100, Colorado Springs, CO 80907 2007-11-20
1336330653 Dianne C. Leeb Surgery 31-n Wildflower Place, Edwards, CO 81632 2007-08-05
1013108299 Richard Thomas Ethridge Surgery 1100 Poudre River Dr Unit A, Fort Collins, CO 80524-3557 2007-08-05
1891906996 Thomas William Fawell Surgery 26781 E. Clifton Dr., Aurora, CO 80016 2007-05-24
1841322674 Joyce Aycock Surgery 36 Steele St Ste 200, Denver, CO 80206-5710 2007-03-09
1811022239 Steven Lee Snively Surgery 601 E Hampden Ave Ste 200, Englewood, CO 80113-2788 2007-02-23
1437231982 Christine Maria Rodgers Surgery 4600 Hale Pkwy Ste 330, Denver, CO 80220-4000 2006-10-20
1871675314 Michael Charles Bateman Surgery 4700 Hale Pkwy Ste 520, Denver, CO 80220-4053 2006-10-20
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Competitor

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City LAFAYETTE
Zip Code 80026

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Dataset Information

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.

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