JOSEPH G HERRMANN MD LLC
NPI 1013154160
Specialist in Saint Louis, MO

Q: What is the provider's specialty?

The provider's specialty is Specialist with taxonomy code 174400000X.

Active since January 12, 2009

621 S NEW BALLAS RD, SUITE 419A, SAINT LOUIS, MO 63141(314) 432-0056(314) 432-6853 Get Directions Write a Review

NPPES record last updated: January 12, 2009. Verified against the NPPES registry weekly; last sync: July 19, 2026.

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About Joseph G Herrmann Md Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JOSEPH G HERRMANN MD LLC (NPI 1013154160) is a healthcare organization registered as a specialist in Saint Louis, Missouri and active in the NPI registry since January 2009. The organization lists Erin Michelle Licavoli, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1013154160

Entity TypeOrganization

Primary Taxonomy174400000X

Legal Business NameJOSEPH G HERRMANN MD LLC

Location Address621 S NEW BALLAS RD, SUITE 419ASaint Louis, MO 63141-8232

Mailing Address1922 Drexel Hill CtDes Peres, MO 63131-3647 · (314) 432-0056

Phone(314) 432-0056

Fax(314) 432-6853

Organization SubpartNo

Authorized OfficialErin Michelle LicavoliOffice Manager · (314) 432-0056

Enumeration DateJanuary 12, 2009

✔ NPI 1013154160 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers

Taxonomy Code174400000X

License✔ Licensed in MO · 103604

Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

621 S NEW BALLAS RD, Saint Louis, MO 63141

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Other Identifiers 1

Medicare PIN922094568MO

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP