Active NPI
Eliot G Sherr, DPM
- Foot & Ankle Surgery Podiatrist
- Peabody, MA
National Provider Identifier
1316969546
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 1497
- Practice address
- 205 Andover St
Peabody, MA 01960-1603 - Phone
- (978) 531-4484
- Fax
- (866) 214-2666
- NPI assigned
- Jul 24, 2006
- Last updated
- Apr 19, 2010
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 1497 | MA | Primary |
Addresses
Primary practice location
205 Andover St
Peabody, MA 01960-1603
Mailing address
205 Andover St
Peabody, MA 01960-1603
Phone (978) 531-4484
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| Y70620 | Other | MA | BCBS |
Other names 1
- Dr. Eliot G Sherr
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1497 | MA | MD | Electroneurodiagnostic Specialist/Technologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Shore Podiarty Associates, Inc. | Foot & Ankle Surgery | Past | Accepting new patients |
Organizations & group practices 3
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.
-
- Foot & Ankle Surgery Podiatrist
- Peabody, MA
- NPI 1700104296
-
dba Foot Care Center
- Foot & Ankle Surgery Podiatrist
- Peabody, MA
- NPI 1285856435
-
- Podiatric Clinic/Center
- Naples, FL
- NPI 1629349840
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1271635200000",
"number": "1316969546",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 ANDOVER ST",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601603",
"telephone_number": "978-531-4484",
"fax_number": "866-214-2666"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 ANDOVER ST",
"city": "PEABODY",
"state": "MA",
"postal_code": "019601603",
"telephone_number": "978-531-4484",
"fax_number": "866-214-2666"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SHERR",
"first_name": "ELIOT",
"middle_name": "G",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2010-04-19",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "MA",
"license": "1497",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "Y70620",
"state": "MA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "ELIOT",
"last_name": "SHERR",
"middle_name": "G",
"prefix": "DR.",
"credential": "DPM",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Peabody, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 19, 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.