Active NPI
Jennifer Beth Sherwood, MD
- Urology Physician
- Wynnewood, PA
National Provider Identifier
1205851193
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Urology Physician
- License
- MD064958L
- Practice address
- 100 E Lancaster Ave
361 Lankenau Medical Building East
Wynnewood, PA 19096-3450 - Phone
- (610) 649-6420
- Fax
- (610) 649-4689
- NPI assigned
- Jul 13, 2006
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Urology Physician | 208800000X | MD064958L | PA | Primary |
Addresses
Primary practice location
100 E Lancaster Ave
361 Lankenau Medical Building East
Wynnewood, PA 19096-3450
Mailing address
100 E Lancaster Ave
361 Lankenau Medical Building East
Wynnewood, PA 19096-3450
Phone (610) 649-6420
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MD064958L | Other | PA | MEDICAL LICENSE |
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 |
|---|---|---|---|
| MD064958L | PA | MD | Urology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152748800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1259884800000",
"number": "1205851193",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "361 LANKENAU MEDICAL BUILDING EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-6420",
"fax_number": "610-649-4689"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 E LANCASTER AVE",
"address_2": "361 LANKENAU MEDICAL BUILDING EAST",
"city": "WYNNEWOOD",
"state": "PA",
"postal_code": "190963450",
"telephone_number": "610-649-6420",
"fax_number": "610-649-4689"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "JENNIFER",
"middle_name": "BETH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-07-13",
"last_updated": "2009-12-04",
"status": "A"
},
"taxonomies": [
{
"code": "208800000X",
"taxonomy_group": "",
"desc": "Urology",
"state": "PA",
"license": "MD064958L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAL LICENSE",
"identifier": "MD064958L",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wynnewood, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.