Active NPI
Loran David Sherwood, M.D.
- Family Medicine Physician
- Ridgway, CO
National Provider Identifier
1205925344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 35376
- Practice address
- 570 Palomino TRL
Ridgway, CO 81432-9246 - Phone
- (970) 626-5123
- Fax
- (970) 626-9783
- NPI assigned
- Oct 12, 2006
- Last updated
- Nov 15, 2013
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 35376 | CO | Primary |
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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01353762 | Medicaid | CO | |
| SH39676 | Other | CO | BLUE CROSS BLUE SHIELD |
| 841554989002 | Other | CO | ROCKY MOUNTAIN |
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 |
|---|---|---|---|
| 35376 | CO | MD | Family Medicine Physician |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Family Medicine Physician
- Ridgway, CO
- NPI 1023352424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160611200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384473600000",
"number": "1205925344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 270",
"city": "RIDGWAY",
"state": "CO",
"postal_code": "814320270",
"telephone_number": "970-626-5123",
"fax_number": "970-626-9783"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "570 PALOMINO TRL",
"city": "RIDGWAY",
"state": "CO",
"postal_code": "814329246",
"telephone_number": "970-626-5123",
"fax_number": "970-626-9783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERWOOD",
"first_name": "LORAN",
"middle_name": "DAVID",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-12",
"last_updated": "2013-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "CO",
"license": "35376",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "01353762",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD",
"identifier": "SH39676",
"state": "CO"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ROCKY MOUNTAIN",
"identifier": "841554989002",
"state": "CO"
}
],
"endpoints": [],
"other_names": []
}Other providers in Ridgway, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.