DR. SCOTTY ROY HERMANN (NPI# 1780779553) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780779553 |
| Entity Type | Individual |
| Full Name | DR. SCOTTY ROY HERMANN |
| Credential | MD |
| Practice Address |
405 Londonderry Dr Suite 106 Waco TX 76712-7924 |
| Practice Telephone | 2547764961 |
| Practice Fax Number | 2547764964 |
| Mailing Telephone | 2547764961 |
| Mailing Fax Number | 2547764964 |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2009-04-23 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
G1917 | TX | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| TX | STATE LISCENSE | G 1917 | 01 |
| Street Address |
405 LONDONDERRY DR SUITE 106 |
| City | WACO |
| State | TX |
| Zip Code | 76712-7924 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679561989 | Nelson D Destaffany Md Pa | Anesthesiology | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7924 | 2005-10-11 |
| 1205349933 | Srijana Dhakal | Nurse Practitioner | 405 Londonderry Dr, Waco, TX 76712-7924 | 2017-11-16 |
| 1518215094 | Heather Mccall | Physician Assistant | 405 Londonderry Dr, Suite 301, Waco, TX 76712-7924 | 2012-08-15 |
| 1538423850 | Heather L. Braun | Physician Assistant | 405 Londonderry Dr, Suite 200, Waco, TX 76712-7924 | 2012-07-02 |
| 1528220381 | Silvana Y.pauls Al-chaderchi | Pediatrics | 405 Londonderry Dr, Suite 200, Waco, TX 76712-7924 | 2008-07-01 |
| 1295908747 | Denise Klaras Mcleod | Audiologist | 405 Londonderry Dr, Suite 100, Waco, TX 76712-7924 | 2008-04-04 |
| 1760675060 | Florence Amoro | Pediatrics | 405 Londonderry Dr, Suite 200, Waco, TX 76712-7924 | 2007-08-21 |
| 1104016161 | Gary W Fischer, Md Pa | Anesthesiology | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7924 | 2007-07-26 |
| 1689878258 | Roger Chad Hendricks | Anesthesiology | 405 Londonderry Dr, Suite 105, Waco, TX 76712-7924 | 2007-06-14 |
| 1881898666 | Richard Earle Helmer Iv | Thoracic Surgery (Cardiothoracic Vascular Surgery) | 405 Londonderry Dr, Suite 301, Waco, TX 76712 | 2007-06-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922634294 | Waco Ophthalmology, Pllc | Ophthalmology | 602 W Highway 6, Waco, TX 76712 | 2020-03-19 |
| 1326692872 | Oceans Behavioral Hospital of Waco LLC | Psychiatric Hospital | 5931 Crosslake Parkway, Waco, TX 76712 | 2019-08-01 |
| 1831759620 | Jessica Ngoc Vien | Optometrist | 1000 Hwy 6, Ste 210, Waco, TX 76712 | 2019-06-14 |
| 1780150888 | Chelsea Cannon | Occupational Therapist | 330 W State Hwy 6, Waco, TX 76712 | 2018-10-17 |
| 1669955399 | Elizabeth Ann Barnhill | Speech-Language Pathologist | 15003 Riatta Rd, Woodway, TX 76712 | 2018-09-09 |
| 1447731617 | Melanie A Melton | Physical Therapist | 300 West Highway 6, Waco, TX 76712 | 2018-08-27 |
| 1396226403 | Gala Kaye Czajkoski | Occupational Therapy Assistant | 300 West Hightway 6, Waco, TX 76712 | 2018-08-27 |
| 1619457454 | Monica Anderson | Physical Therapy Assistant | 300 W Hwy 6, Waco, TX 76712 | 2018-08-21 |
| 1295238368 | Waco Sn Opco LLC | Skilled Nursing Facility | 7501 Bagby, Waco, TX 76712 | 2018-03-14 |
| 1558872952 | C. Guy Fps, Pllc | Otolaryngology | 1129 Aberdeen Rd, Waco, TX 76712 | 2017-10-12 |
| Find all providers in zip 76712 | ||||
| Taxonomy Code | 207VG0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Obstetrics & Gynecology |
| Specialization | Gynecology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447260781 | William R Beaty | Obstetrics & Gynecology | 7030 New Sanger Rd Ste 204, Waco, TX 76712-3991 | 2006-08-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129458 | Bloom Gynecology LLC | Obstetrics & Gynecology | 3540 E Broad St # 262, Mansfield, TX 76063-5633 | 2020-09-21 |
| 1861003170 | North Texas Cosmetic Surgery, LLC | Obstetrics & Gynecology | 4401 Coit Rd Ste 205, Frisco, TX 75035-0504 | 2020-08-11 |
| 1285279208 | Jill Bynum Farmar | Obstetrics & Gynecology | 4611 Travis St Apt 7, Dallas, TX 75205-5581 | 2019-11-13 |
| 1295221786 | Cornerstonemd,pllc | Obstetrics & Gynecology | 12222 N Central Expy Ste 140, Dallas, TX 75243 | 2018-07-08 |
| 1851745459 | Holly Eliason | Obstetrics & Gynecology | 4085 Ohio Dr Ste 100, Frisco, TX 75035-6245 | 2016-04-20 |
| 1861807968 | Ruby L Holloway, M.d.p.a | Obstetrics & Gynecology | 710 S 8th St Ste B, Beaumont, TX 77701-4634 | 2014-06-26 |
| 1851731319 | Annabelle Lopez M.d., P.a. | Obstetrics & Gynecology | 913 S Airport Dr Ste 201, Weslaco, TX 78596-6629 | 2013-06-28 |
| 1679815286 | Andrew Gene Dillard | Obstetrics & Gynecology | 1717 Weiskopf Dr, Heath, TX 75032-7749 | 2013-03-21 |
| 1689916553 | Peter K Thompson | Obstetrics & Gynecology | 307 Fall River Ct, Houston, TX 77024-5611 | 2013-03-19 |
| 1003158916 | Robert J Morrow | Obstetrics & Gynecology | 2202 Running Springs Dr, Kingwood, TX 77339-3125 | 2013-03-19 |
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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.