DR. GLENN ERIC HERRMANN M.D. NPI 1629085196

NPI Information

NPI: 1629085196
Provider Name: DR. GLENN ERIC HERRMANN, M.D.
Classification: Surgery - 2086S0122X
Entity Type: Individual

Specialization: Plastic and Reconstructive Surgery

PECOS Registration: Yes

Address:
130 OLD LARAMIE TRL E BLDG 4
LAFAYETTE, CO
ZIP 80026
Phone: (303) 664-9400
Get Directions

DR. Glenn Eric Herrmann, M.D. is a plastic and reconstructive surgery surgery in Lafayette, CO with 27 years of experience. The provider is a surgeon who specializes in plastic and reconstructive surgery. DR. Glenn Eric Herrmann, M.D. NPI is 1629085196. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

130 OLD LARAMIE TRL E BLDG 4
LAFAYETTE, CO
ZIP 80026-014
Phone: (303) 664-9400
Fax: (303) 666-5362

The NPI 1629085196 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA), Power Mobility Devices.

The enumeration date for this NPI number is 8/1/2006 and was last updated on 3/29/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	204E00000X	Oral & Maxillofacial Surgery		44716	COLORADO	No
2	208200000X	Plastic Surgery		44716	COLORADO	No
3	2082S0099X	Plastic Surgery	Plastic Surgery Within the Head and Neck	44716	COLORADO	No
4	2082S0105X	Plastic Surgery	Surgery of the Hand	44716	COLORADO	No
5	208600000X	Surgery		44716	COLORADO	No
6	2086S0122X	Surgery	Plastic and Reconstructive Surgery	44716	COLORADO	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	15035859	MEDICAID	COLORADO
2	040644	MEDICARE PIN	COLORADO

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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