Individual provider Active NPI

Paul Joseph Sherman, M.D.

  • Specialist
  • Louisville, KY
National Provider Identifier
1285653857
Registry record updated Apr 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
20886 Issued in KY
Practice address
4001 Kresge Way Ste 330
Louisville, KY 40207-4640
Phone
(502) 394-6341
Fax
(502) 394-6340
NPI assigned
Jul 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 20886 KY Primary

Addresses

Primary practice location

4001 Kresge Way Ste 330
Louisville, KY 40207-4640

Mailing address

P O Box 950202
Louisville, KY 40295-0202
Phone (502) 969-6552

Other identifiers 11

IdentifierTypeStateIssuer
000023033SOtherKYHUMANA- NORTON ORTHO TRAUMA CARE
3534952000OtherKYPASSPORT ADVANTAGE- NORTON ORTHO TRAUMA CARE
50020168OtherKYPASSPORT- NORTON ORTHO TRAUMA CARE
200041220OtherKYMANAGED HEALTH SERVICES- NORTON ORTHO TRAUMA CARE
2000413220OtherKYANTHEM INDIANA MEDICAID- NORTON ORTHO TRAUMA CARE
P00634730OtherKYRAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE
000000577220OtherKYANTHEM- NORTON ORTHO TRAUMA CARE
2000413220OtherKYMD WISE- NORTON ORTHO TRAUMA CARE
64208861OtherKYMEDICAID KENTUCKY- NORTON ORTHO TRAUMA CARE
00533047OtherKYMEDICARE- NORTON ORTHO TRAUMA CARE
2000413220OtherKYMEDICAID IN- NORTON ORTHO TRAUMA CARE

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
20886KYMDSpecialist

NPI Registry JSON

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

{
    "created_epoch": "1153180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1271030400000",
    "number": "1285653857",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P O BOX 950202",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402950202",
            "telephone_number": "502-969-6552",
            "fax_number": "502-969-3799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4001 KRESGE WAY STE 330",
            "city": "LOUISVILLE",
            "state": "KY",
            "postal_code": "402074640",
            "telephone_number": "502-394-6341",
            "fax_number": "502-394-6340"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "PAUL",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-18",
        "last_updated": "2010-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "KY",
            "license": "20886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA- NORTON ORTHO TRAUMA CARE",
            "identifier": "000023033S",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT ADVANTAGE- NORTON ORTHO TRAUMA CARE",
            "identifier": "3534952000",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PASSPORT- NORTON ORTHO TRAUMA CARE",
            "identifier": "50020168",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MANAGED HEALTH SERVICES- NORTON ORTHO TRAUMA CARE",
            "identifier": "200041220",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM INDIANA MEDICAID- NORTON ORTHO TRAUMA CARE",
            "identifier": "2000413220",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE- NORTON ORTHO TRAUMA CARE",
            "identifier": "P00634730",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM- NORTON ORTHO TRAUMA CARE",
            "identifier": "000000577220",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MD WISE- NORTON ORTHO TRAUMA CARE",
            "identifier": "2000413220",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID KENTUCKY- NORTON ORTHO TRAUMA CARE",
            "identifier": "64208861",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE- NORTON ORTHO TRAUMA CARE",
            "identifier": "00533047",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID IN- NORTON ORTHO TRAUMA CARE",
            "identifier": "2000413220",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Louisville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 12, 2010; 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.