NPIMap

Organization Active NPI

Sherman MD Provider Inc

  • Gastroenterology Physician
  • Port Arthur, TX
National Provider Identifier
1083400790
Registry record updated Apr 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
Legal business name
SHERMAN MD PROVIDER INC
Practice address
2555 Jimmy Johnson Blvd Ste 500
Port Arthur, TX 77640-2007
Phone
(409) 722-2555
NPI assigned
Apr 18, 2025
Last updated
Apr 18, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 18, 2025

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

Authorized official

Name
Jonathan Burket
Title
Cco
Phone
(818) 666-0602

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X NU Primary

Addresses

Primary practice location

2555 Jimmy Johnson Blvd Ste 500
Port Arthur, TX 77640-2007

Mailing address

2555 Jimmy Johnson Blvd Ste 500
Port Arthur, TX 77640-2007

National Provider Directory

National Provider Directory
Tax ID family
Sherman MD Provider Inc10 organizations share this tax ID, including this one

Other organizations with this tax ID 9

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1744934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1744934400000",
    "number": "1083400790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD STE 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2555 JIMMY JOHNSON BLVD STE 500",
            "city": "PORT ARTHUR",
            "state": "TX",
            "postal_code": "776402007",
            "telephone_number": "409-722-2555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHERMAN MD PROVIDER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-18",
        "last_updated": "2025-04-18",
        "certification_date": "2025-04-17",
        "status": "A",
        "authorized_official_last_name": "BURKET",
        "authorized_official_first_name": "JONATHAN",
        "authorized_official_title_or_position": "CCO",
        "authorized_official_telephone_number": "818-666-0602"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Arthur, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.