Provider Demographics
NPI:1699739854
Name:HERMAN, ALLISON ROBIN (MD)
Entity type:Individual
Prefix:
First Name:ALLISON
Middle Name:ROBIN
Last Name:HERMAN
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:ALLISON
Other - Middle Name:HERMAN
Other - Last Name:ZALL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:PO BOX 110429
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80042-0429
Mailing Address - Country:US
Mailing Address - Phone:303-493-7000
Mailing Address - Fax:
Practice Address - Street 1:4500 E 9TH AVE STE 200
Practice Address - Street 2:
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80220-3921
Practice Address - Country:US
Practice Address - Phone:303-399-0055
Practice Address - Fax:303-399-7764
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2020-09-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CODR0045471207V00000X, 207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
CO90350367Medicaid
COCO304537Medicare PIN
CO90350367Medicaid