Individual provider Active NPI

John L Sherman, M.D.

  • Diagnostic Radiology Physician
  • Colorado Springs, CO
National Provider Identifier
1073595831
Registry record updated Oct 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Diagnostic Radiology PhysicianTaxonomy code 2085R0202X
License
30784 Issued in CO
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, 2008By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 27, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
1307842MedicaidCO

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
30784COMDDiagnostic Radiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cher, LLC Diagnostic Radiology CurrentSince Jun 24, 2002 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 29, 2017 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince May 3, 2021 Accepting new patients
Health Imaging Partners, LLC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Dec 28, 2020 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 22, 2017 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jun 1, 2017 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jul 16, 2026 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Mar 28, 2023 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Feb 1, 2017 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Jul 19, 2023 Accepting new patients
Cher LLC Diagnostic Radiology CurrentSince Apr 27, 2018 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jan 1, 2017 Accepting new patients
Cher, LLC Diagnostic Radiology CurrentSince Jul 25, 2022 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.

View all 20

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

Verify at the official NPI Registry.