Active NPI
Suijin Sherman, PA-C
- Physician Assistant
- Doral, FL
National Provider Identifier
1154711968
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA9107768
- Practice address
- 10820 NW 58TH St
Doral, FL 33178 - Phone
- (305) 477-7111
- NPI assigned
- Jan 31, 2015
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA9107768 | FL | Primary |
Addresses
Primary practice location
10820 NW 58TH St
Doral, FL 33178
Mailing address
3540 SW 145TH Ave
Miramar, FL 33027-3749
Phone (305) 766-0595
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PA9107768 | FL | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1422662400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1154711968",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3540 SW 145TH AVE",
"city": "MIRAMAR",
"state": "FL",
"postal_code": "330273749",
"telephone_number": "305-766-0595"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10820 NW 58TH ST",
"city": "DORAL",
"state": "FL",
"postal_code": "33178",
"telephone_number": "305-477-7111"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERMAN",
"first_name": "SUIJIN",
"credential": "PA-C",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-01-31",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9107768",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Doral, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.