Active NPI
John L Sherman, M.D.
- Diagnostic Radiology Physician
- Colorado Springs, CO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 30784
- Practice address
- 69 W Boulder St
Colorado Springs, CO 80903-3371 - Phone
- (719) 389-1106
- Fax
- (719) 389-1180
- NPI assigned
- Nov 17, 2005
- Last updated
- Oct 27, 2008
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 30784 | CO | Primary |
Addresses
Primary practice location
69 W Boulder St
Colorado Springs, CO 80903-3371
Mailing address
69 W Boulder St
Colorado Springs, CO 80903-3371
Phone (719) 389-1106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1307842 | Medicaid | CO |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CO
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041222000203 | CO | Practitioner - Diagnostic Radiology | 9638083322 | Practice locations: Colorado Springs, CO |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30784 | CO | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Health Imaging Partners, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Cher, LLC | Diagnostic Radiology | Current | Accepting new patients |
| Greeley Xray Group PC | Past | Accepting new patients | |
| Schryver Medical Sales and Marketing Inc. | Past | Accepting new patients | |
| New Schryver LLC | Past | Accepting new patients |
Locations
8610 Explorer Dr
Unit 300
Colorado Springs, CO 80920
Organizations & group practices 20
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.
-
- Diagnostic Radiology Physician
- Colorado Springs, CO
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-
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-
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- Englewood, CO
- NPI 1093929291
-
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-
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-
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1132185600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1225065600000",
"number": "1073595831",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "69 W BOULDER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033371",
"telephone_number": "719-389-1106",
"fax_number": "719-389-1180"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "69 W BOULDER ST",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809033371",
"telephone_number": "719-389-1106",
"fax_number": "719-389-1180"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "JOHN",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-11-17",
"last_updated": "2008-10-27",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "CO",
"license": "30784",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1307842",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.