Active NPI
Carl P Sherwin, MD
- Family Medicine Physician
- Malone, NY
National Provider Identifier
1043286032
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 207926
- Practice address
- 155 Finney Blvd
Malone, NY 12953 - Phone
- (518) 483-0109
- NPI assigned
- Feb 28, 2006
- Last updated
- Dec 2, 2011
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 207926 | NY | Primary |
Addresses
Primary practice location
155 Finney Blvd
Malone, NY 12953
Mailing address
PO Box 667
Malone, NY 12953
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1141084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1043286032",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 667",
"city": "MALONE",
"state": "NY",
"postal_code": "12953"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155 FINNEY BLVD",
"city": "MALONE",
"state": "NY",
"postal_code": "12953",
"telephone_number": "518-483-0109"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWIN",
"first_name": "CARL",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-28",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "207926",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Malone, NY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.