Shern Hart, M.D.

Primary specialty

General Practice PhysicianTaxonomy code 208D00000X

License

124668 Issued in NY

Practice address

47 Hector
Trumansburg, NY 14886

Phone

(607) 387-5781

NPI assigned

Aug 15, 2005

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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

{
    "created_epoch": "1124064000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255333688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 488",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "148860488",
            "telephone_number": "607-387-5781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "47 HECTOR",
            "city": "TRUMANSBURG",
            "state": "NY",
            "postal_code": "14886",
            "telephone_number": "607-387-5781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HART",
        "first_name": "SHERN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2005-08-15",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NY",
            "license": "124668",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00463254",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Christina J Foreman
• Heather C Forsythe
• Mariana Gallegos, PHARMD
• Lisa I Glasner, MS., CCC-SLP
• Annalee Margaret Griffen, LMSW
• Gerrit W Heetderks, MD
• Neil F. Henninger, O.D.
• Andrea Louise Isacks, LCSW-R
• Bryan L Isacks Jr., M.S., L.AC.
• Ithaca Alpha House Center, Inc.

• General Practice Physician in Trumansburg, NY
• Providers in Trumansburg, NY by specialty
• General Practice Physician in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.