Individual provider Active NPI

Eliot G Sherr, DPM

  • Foot & Ankle Surgery Podiatrist
  • Peabody, MA
National Provider Identifier
1316969546
Registry record updated Apr 19, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
1497 Issued in MA
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, 2010By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 19, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
Y70620OtherMABCBS

Other names 1

  • Dr. Eliot G Sherr Other name

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

LicenseStateTypeSpecialty
1497MAMDElectroneurodiagnostic Specialist/Technologist

Practice roles

OrganizationSpecialtyStatusNew patients
North Shore Podiarty Associates, Inc. Foot & Ankle Surgery PastSince Jul 30, 2007 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.

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.

Verify at the official NPI Registry.