Individual provider Active NPI

Carolyn Hyatt Sherman, M.D.

  • Anesthesiology Physician
  • Dallas, TX
National Provider Identifier
1205099876
Registry record updated Jan 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
N8985 Issued in TX
Practice address
1410 Bella Vista Dr
Dallas, TX 75218-3507
Phone
(214) 403-2057
NPI assigned
Jul 3, 2008
Last updated
Jan 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 22, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 44206 KY
Anesthesiology Physician 207L00000X N8985 TX Primary

Addresses

Primary practice location

1410 Bella Vista Dr
Dallas, TX 75218-3507

Mailing address

1410 Bella Vista Dr
Dallas, TX 75218-3507
Phone (214) 403-2057

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

LicenseStateTypeSpecialty
44206KYMDAnesthesiology Physician
N8985TXMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Young Health Spa, P.a. Past Accepting new patients
Sanjai Isaac MD, PA Anesthesiology Past Accepting new patients
JCS Anesthesiology PLLC Anesthesiology Past Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1215043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1485043200000",
    "number": "1205099876",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1410 BELLA VISTA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183507",
            "telephone_number": "214-403-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1410 BELLA VISTA DR",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752183507",
            "telephone_number": "214-403-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "CAROLYN",
        "middle_name": "HYATT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-03",
        "last_updated": "2017-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "KY",
            "license": "44206",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TX",
            "license": "N8985",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 22, 2017; 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.