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1184750796

NPI Code Detail

MEDICARE: DR. MELISSA RENE HERRMAN MD

MEDICARE: DR. MELISSA RENE HERRMAN MD

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207Q00000X	Family Medicine Physician	2005019460	MO
2	207Q00000X	Family Medicine Physician	04-32359	KS

Medicare Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	068002254	OTHER	KS	MEDICARE PTAN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1184750796
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. MELISSA RENE HERRMAN MD

Provider Business Mailing Address
First Line	:	4505 NW FIELDING RD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66618-2651
Country	:	US
Telephone Number	:	785-270-0080
Fax Number	:

Provider Business Practice Location Address
First Line	:	4505 NW FIELDING RD
Second Line	:
City	:	TOPEKA
State	:	KS
Zip	:	66618-2651
Country	:	US
Telephone Number	:	785-270-0080
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/26/2007
Last Update Date	:	09/04/2025

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Directions to “ DR. MELISSA RENE HERRMAN MD” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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