Active NPI
Sherman G Sorensen, M.D.
- Cardiovascular Disease Physician
- Murray, UT
National Provider Identifier
1164490280
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 168722-1205
- Practice address
- 5169 S Cottonwood St
610
Murray, UT 84107 - Phone
- (801) 507-3656
- Fax
- (801) 507-3657
- NPI assigned
- Mar 14, 2006
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 168722-1205 | UT | Primary |
Addresses
Primary practice location
5169 S Cottonwood St
610
Murray, UT 84107
Mailing address
5169 S Cottonwood St
610
Murray, UT 84107
Phone (801) 507-3656
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)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 168722-1205 | UT | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sherman G Sorensen MD | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142294400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196121600000",
"number": "1164490280",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5169 S COTTONWOOD ST",
"address_2": "610",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-507-3656",
"fax_number": "801-507-3657"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5169 S COTTONWOOD ST",
"address_2": "610",
"city": "MURRAY",
"state": "UT",
"postal_code": "84107",
"telephone_number": "801-507-3656",
"fax_number": "801-507-3657"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORENSEN",
"first_name": "SHERMAN",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-14",
"last_updated": "2007-11-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "UT",
"license": "168722-1205",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 27, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.