Individual provider Active NPI

Jeffrey Wayne Sherman, M.D.

  • Infectious Disease Physician
  • Deerfield, IL
National Provider Identifier
1134499593
Registry record updated Jan 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Infectious Disease PhysicianTaxonomy code 207RI0200X
License
036.064589 Issued in IL
Practice address
520 Lake Cook Rd.
Suite 520
Deerfield, IL 60015-5633
Phone
(224) 383-3000
Fax
(847) 939-1576
NPI assigned
Jan 3, 2012
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 3, 2012

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Infectious Disease Physician 207RI0200X 036.064589 IL Primary
Infectious Disease Physician 207RI0200X G54695 CA
Infectious Disease Physician 207RI0200X 25MA05274300 NJ

Addresses

Primary practice location

520 Lake Cook Rd.
Suite 520
Deerfield, IL 60015-5633

Mailing address

520 Lake Cook Rd.
Suite 520
Deerfield, IL 60015-5633
Phone (224) 383-3000

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)
Not enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
G54695CAMDInfectious Disease Physician
036.064589ILMDInfectious Disease Physician
25MA05274300NJMDInfectious Disease Physician

NPI Registry JSON

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

{
    "created_epoch": "1325548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325548800000",
    "number": "1134499593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 LAKE COOK RD.",
            "address_2": "SUITE 520",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155633",
            "telephone_number": "224-383-3000",
            "fax_number": "847-939-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 LAKE COOK RD.",
            "address_2": "SUITE 520",
            "city": "DEERFIELD",
            "state": "IL",
            "postal_code": "600155633",
            "telephone_number": "224-383-3000",
            "fax_number": "847-939-1576"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "JEFFREY",
        "middle_name": "WAYNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2012-01-03",
        "last_updated": "2012-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "IL",
            "license": "036.064589",
            "primary": true
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "CA",
            "license": "G54695",
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": "NJ",
            "license": "25MA05274300",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Deerfield, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2012; 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.