Individual provider Active NPI

Lisa D Sherman, MD

  • Dermatology Physician
  • Portsmouth, NH
National Provider Identifier
1043245046
Registry record updated Sep 21, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
14048 Issued in NH
Practice address
155 Borthwick Avenue
Suite 201 West
Portsmouth, NH 03801
Phone
(603) 433-9575
Fax
(603) 430-0104
NPI assigned
Jul 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 0101051160 VA
Dermatology Physician 207N00000X 235341 MA
Dermatology Physician 207N00000X 017869 ME
Dermatology Physician 207N00000X 14048 NH Primary

Addresses

Primary practice location

155 Borthwick Avenue
Suite 201 West
Portsmouth, NH 03801

Mailing address

401 Andover Street
Suite 101
No Andover, MA 01845
Phone (978) 691-5690

Other identifiers 1

IdentifierTypeStateIssuer
005900671MedicaidVA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NH
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20081009000605 NH Practitioner - Dermatology 2264326081 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
University of Connecticut School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

23 Hampton Rd
Exeter, NH 03833-4807
Phone (978) 691-5690

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision13
Removal of skin lesions112
Removal or shaving of skin growth1-10
Skin biopsy55

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
235341MAMDDermatology Physician
017869MEMDDermatology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Warrenton Dermatology PC Specialist PastSince Jun 12, 2008 Accepting new patients
Northeast Dermatology Associates, PC Specialist Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: lisa.sherman@pd.eclinicaldirectplus.com

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1348185600000",
    "number": "1043245046",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 ANDOVER STREET",
            "address_2": "SUITE 101",
            "city": "NO ANDOVER",
            "state": "MA",
            "postal_code": "01845",
            "telephone_number": "978-691-5690",
            "fax_number": "978-691-5690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "155 BORTHWICK AVENUE",
            "address_2": "SUITE 201 WEST",
            "city": "PORTSMOUTH",
            "state": "NH",
            "postal_code": "03801",
            "telephone_number": "603-433-9575",
            "fax_number": "603-430-0104"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "LISA",
        "middle_name": "D",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "VA",
            "license": "0101051160",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "MA",
            "license": "235341",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "ME",
            "license": "017869",
            "primary": false
        },
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NH",
            "license": "14048",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005900671",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, NH

Sources for this page

Verify at the official NPI Registry.