NPIMap

Individual provider Active NPI

Stanley Robert Sherman, D.O.

  • Surgery Physician
  • Altus, OK
National Provider Identifier
1104886514
Registry record updated Sep 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
3491 Issued in OK
Practice address
101 S Park LN
Altus, OK 73521-5731
Phone
(580) 379-6180
Fax
(580) 379-6189
NPI assigned
Mar 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 3491 OK Primary

Addresses

Primary practice location

101 S Park LN
Altus, OK 73521-5731

Mailing address

101 S Park LN
Altus, OK 73521-5731
Phone (580) 379-6180

Other identifiers 1

IdentifierTypeStateIssuer
100120140AMedicaidOK

Other names 1

  • Stan R. Sherman Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address StanleySherman@direct.jcmh.com

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100726000082 OK Practitioner - General SurgeryPractitioner - Family Practice 5092847145 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson County Memorial Hospital Authority 46 clinicians

Practice addresses (Care Compare)

1200 E Pecan St
Altus, OK 73521-6141

205 S Park LN
Suite 210
Altus, OK 73521-5757
Phone (580) 379-6650

Hospital & facility affiliations

  • Jackson County Memorial Hospital Authority Hospital, Altus, OK, CCN 370022

Merit-based Incentive Payment System (MIPS)

Final score
90.91 of 100Reported as apm
Quality
76.55
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy73
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux48
Melanoma (skin cancer) excision22
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3491OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Jackson County Memorial Hospital Authority CurrentSince Mar 5, 2018 Accepting new patients
Jackson County Memorial Hospital Authority CurrentSince Mar 5, 2018 Accepting new patients
Stewart and Stewart a Medical Corporation Past Accepting new patients
Jackson County Memorial Hosp Phcy Past Accepting new patients
Jackson County Memorial Hospital Authority Past Accepting new patients

Locations

101 S Park Ln
Ste 300
Altus, OK 73521
Phone (580) 379-5500

205 S Park Ln
Ste 210
Altus, OK 73521
Phone (580) 379-6650

101 S Park Ln
Altus, OK 73521
Phone (580) 379-6140

Interoperability endpoints

  • Direct secure messaging: stanleysherman@direct.jcmh.com

Organizations & group practices 11

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

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1143504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663113600000",
    "number": "1104886514",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215731",
            "telephone_number": "580-379-6180",
            "fax_number": "580-379-6189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 S PARK LN",
            "city": "ALTUS",
            "state": "OK",
            "postal_code": "735215731",
            "telephone_number": "580-379-6180",
            "fax_number": "580-379-6189"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "STANLEY",
        "middle_name": "ROBERT",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-28",
        "last_updated": "2022-09-14",
        "certification_date": "2022-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "OK",
            "license": "3491",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "100120140A",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "StanleySherman@direct.jcmh.com",
            "affiliation": "N",
            "address_1": "101 S Park Ln",
            "city": "Altus",
            "state": "OK",
            "country_code": "US",
            "postal_code": "735215731",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "STAN",
            "last_name": "SHERMAN",
            "middle_name": "R.",
            "credential": "D.O.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Altus, OK

Sources for this page

Verify at the official NPI Registry.