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).
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 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
CO | 15035859 | 05 |
Street Address |
130 OLD LARAMIE TRL E BLDG 4 |
City | LAFAYETTE |
State | CO |
Zip Code | 80026-7014 |
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 |
1912460015 | Premier Eye Surgery Center of Colorado, LLC | Clinic/Center | 1050 W. South Boulder Road, Lafayette, CO 80026 | 2019-04-08 |
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 |
Find all providers in zip 80026 |
Taxonomy Code | 2086S0122X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Surgery |
Specialization | Plastic and Reconstructive Surgery |
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. |
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 |
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 |
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.