Loran David Sherwood, M.D.
Individual provider Active NPI Family Medicine Physician · Ridgway, CO
NPI 1205925344 · NPPES record last updated Nov 15, 2013
Key facts
- NPI
- 1205925344
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Family Medicine Physician 207Q00000X
- License
- 35376 (CO)
- Practice address
- 570 Palomino TRL
Ridgway, CO 81432-9246 - Phone
- (970) 626-5123
- Fax
- (970) 626-9783
- NPI assigned
- Oct 12, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- HHS exclusion list flag
- The National Provider Directory flags this NPI as appearing on an HHS exclusion list.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35376 | CO | MD | Family Medicine Physician |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35376 | CO | Yes |
Addresses
Primary practice location
570 Palomino TRL
Ridgway, CO 81432-9246
Mailing address
PO Box 270
Ridgway, CO 81432-0270
Phone (970) 626-5123
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01353762 | Medicaid | CO | |
| 841554989002 | Other | CO | ROCKY MOUNTAIN |
| SH39676 | Other | CO | BLUE CROSS BLUE SHIELD |
Other providers in Ridgway, CO
- San Juan Psychotherapy
- Tawnya Renee Schiebel
- Kelly Schuck
- Abigail Ellen Seaver
- Donna M Sherwood
- Gabrielle Hotz Silverman
- Source Counseling
- Southwest Colorado Mental Health Center Inc
- Donald Frederick Swartz
- Michael W Thomas
All providers in Ridgway, CO · Family Medicine Physician in Colorado
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 15, 2013. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.