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

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: August 09, 2026.

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

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

STEPHANIE LYNN SHOREY WHNP-BC
Nurse Practitioner (Women's Health)
621 S NEW BALLAS RD, SUITE 2007B
SAINT LOUIS, MO 63141
St. Louis County (314) 991-5000
DR. KATHRYN BOTNEY M.D.
Obstetrics & Gynecology
621 S NEW BALLAS RD, SUITE 4005
SAINT LOUIS, MO 63141
St. Louis County (314) 567-5016
HUILIN LI M.D.
Internal Medicine
621 S NEW BALLAS RD, SUITE 3016B
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6339
LUIS A GIUFFRA LLC
Psychiatry & Neurology (Psychiatry)
621 S NEW BALLAS RD, SUITE 398A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-7720
KAREN KILO RN, CDE, RD
Nutritionist (Nutrition, Education)
621 S NEW BALLAS RD, SUITE 460A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-4330
KATINA M CANDEE PA-C
Physician Assistant
621 S NEW BALLAS RD, SUITE 483A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-2095
DR. PETER KONG-WOO YOON M.D.
Specialist
621 S NEW BALLAS RD, STE 297A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-6364
MUDDASANI BABITHA REDDY DO
Internal Medicine (Gastroenterology)
621 S NEW BALLAS RD, SUITE 437 A
SAINT LOUIS, MO 63141
St. Louis County (314) 251-3881

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Joseph G Herrmann MD LLC's NPI number?

The NPI number for Joseph G Herrmann MD LLC is 1013154160. It was assigned to this organization in the NPPES registry on January 12, 2009.

Where is Joseph G Herrmann MD LLC located?

Joseph G Herrmann MD LLC is located at 621 S New Ballas Rd Suite 419A, Saint Louis, MO 63141. The listed phone number is (314) 432-0056.

What is Joseph G Herrmann MD LLC's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Joseph G Herrmann MD LLC was last updated on January 12, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.