Samantha J Sherman, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

9019069 Issued in FL

Practice address

20665 Lyons Rd
Boca Raton, FL 33434-3911

Phone

(561) 883-6677

NPI assigned

Oct 13, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Samantha J Goldberg Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Complete Urgent Healthcare LLC

  • Urgent Care Clinic/Center
  • West Palm Beach, FL
  • NPI 1588958342
  NPD (past)

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

{
    "created_epoch": "1444694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1583884800000",
    "number": "1326419623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2611 NE 4TH ST",
            "city": "POMPANO BEACH",
            "state": "FL",
            "postal_code": "330624918",
            "telephone_number": "561-866-7157"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20665 LYONS RD",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334343911",
            "telephone_number": "561-883-6677"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "111 SE Mizner Blvd",
            "address_purpose": "LOCATION",
            "city": "Boca Raton",
            "state": "FL",
            "postal_code": "33432",
            "country_code": "US",
            "telephone_number": "561-866-7157",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SHERMAN",
        "first_name": "SAMANTHA",
        "middle_name": "J",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-10-13",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "9019069",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAMANTHA",
            "last_name": "GOLDBERG",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Danielle Sherlock, DO
• Ellen A. Sherman, PH.D.
• Jamie Alexa Sherman, PHD
• Rachael Sherman, APRN
• Ronald Mark Sherman, LCSW
• Sherri Rockower OD Ms PA
• Sherry Rawiszer LLC
• Edward Sherwood
• Jessica Paula Shevchenko, CCC-SLP
• David M Shevitz, MD

• Medical Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Medical Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 2020; 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.