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Contact Information

THADDEUS HERMAN, CRNA
1402 E COUNTY LINE RD
INDIANAPOLIS, IN46227-0963
 Phone: 317-887-7957
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Nurse Anesthetist, Certified Registered

367500000X 43 Certified Registered Nurse Anesthetist (CRNA)
Indicates primary specialty

NPI Profile & details for THADDEUS HERMAN · (Male)

NPI Number 1952353294
Status Active
Credentials CRNA (Certified Registered Nurse Anesthetist)
Entity Individual
Enumeration date 05/16/2006
Last updated 06/05/2024 - About 2 years ago
Sole proprietor 1 No
Identifiers
  • IN License # 28155396
  • IN License # 28155396A
  • OH License # APRN.CRNA.019435
  • IN Medicaid 200431170
Hospital affiliation(s)
  • BETHESDA NORTH - (Acute Care)
    10500 MONTGOMERY ROAD
    CINCINNATI, OH 45242
  • LUTHERAN HOSPITAL OF INDIANA - (Acute Care)
    7950 W JEFFERSON BLVD
    FORT WAYNE, IN 46804
  • MERCY HOSPITAL FAIRFIELD - (Acute Care)
    3000 MACK ROAD
    FAIRFIELD, OH 45014
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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